Health Canada 2015-16 Report on Plans and Priorities

Table of Contents

• Minister's Message
• Section I: Organizational Expenditure Overview
  • Organizational Profile
  • Organizational Context
  • Planned Expenditures
  • Alignment of Spending With the Whole-of-Government Framework
  • Departmental Spending Trend
  • Estimates by Vote
• Section II: Analysis of Program(s) by Strategic Outcome
  • Strategic Outcome 1: A health system responsive to the needs of Canadians
    • Program 1.1: Canadian Health System Policy
    • Sub-Program 1.1.1: Health System Priorities
    • Sub-Program 1.1.2: Canada Health Act Administration
    • Program 1.2: Specialized Health Services
    • Program 1.3: Official Language Minority Community Development
  • Strategic Outcome 2: Health risks and benefits associated with food, products, substances, and environmental factors are appropriately managed and communicated to Canadians
    • Program 2.1: Health Products
    • Sub-Program 2.1.1: Pharmaceutical Drugs
    • Sub-Program 2.1.2: Biologics and Radiopharmaceuticals
    • Sub-Program 2.1.3: Medical Devices
    • Sub-Program 2.1.4: Natural Health Products
    • Program 2.2: Food Safety and Nutrition
    • Sub-Program 2.2.1: Food Safety
    • Sub-Program 2.2.2: Nutrition Policy and Promotion
    • Program 2.3: Environmental Risks to Health
    • Sub-Program 2.3.1: Climate Change and Health
    • Sub-Program 2.3.2: Air Quality
    • Sub-Program 2.3.3: Water Quality
    • Sub-Program 2.3.4: Health Impacts of Chemicals
    • Program 2.4: Consumer Product and Workplace Chemical Safety
    • Sub-Program 2.4.1: Consumer Product Safety
    • Sub-Program 2.4.2: Workplace Chemical Safety
    • Program 2.5: Substance Use and Abuse
    • Sub-Program 2.5.1: Tobacco
    • Sub-Program 2.5.2: Controlled Substances
    • Program 2.6: Radiation Protection
    • Sub-Program 2.6.1: Environmental Radiation Monitoring and Protection
    • Sub-Program 2.6.2: Radiation Emitting Devices
    • Sub-Program 2.6.3: Dosimetry Services
    • Program 2.7: Pesticides
  • Strategic Outcome 3: First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status
    • Program 3.1: First Nations and Inuit Primary Health Care
    • Sub-Program 3.1.1: First Nations and Inuit Health Promotion and Disease Prevention
    • Sub-Sub-Program 3.1.1.1: Healthy Child Development
    • Sub-Sub-Program 3.1.1.2: Mental Wellness
    • Sub-Sub-Program 3.1.1.3: Healthy Living
    • Sub-Program 3.1.2: First Nations and Inuit Public Health Protection
    • Sub-Sub-Program 3.1.2.1: Communicable Disease Control and Management
    • Sub-Sub-Program 3.1.2.2: Environmental Public Health
    • Sub-Program 3.1.3: First Nations and Inuit Primary Care
    • Sub-Sub-Program 3.1.3.1: Clinical and Client Care
    • Sub-Sub-Program 3.1.3.2: Home and Community Care
    • Program 3.2: Supplementary Health Benefits for First Nations and Inuit
    • Program 3.3: Health Infrastructure Support for First Nations and Inuit
    • Sub-Program 3.3.1: First Nations and Inuit Health System Capacity
    • Sub-Sub-Program 3.3.1.1: Health Planning and Quality Management
    • Sub-Sub-Program 3.3.1.2: Health Human Resources
    • Sub-Sub-Program 3.3.1.3: Health Facilities
    • Sub-Program 3.3.2: First Nations and Inuit Health System Transformation
    • Sub-Sub-Program 3.3.2.1: Systems Integration
    • Sub-Sub-Program 3.3.2.2: e-Health Infostructure
    • Sub-Program 3.3.3: Tripartite Health Governance
    • Internal Services
• Section III: Supplementary Information
  • Future-Oriented Statement of Operations
  • Supplementary Information Tables
  • Tax Expenditures and Evaluations
• Section IV: Organizational Contact Information
  • Appendix: Definitions
• Endnotes

Minister's Message

As Minister of Health, I am pleased to present Health Canada's 2015-16 Report on Plans and Priorities. Canadians are among the healthiest people in the world, living longer and enjoying more quality years in good health than ever before. The priorities outlined in this report will help ensure the Government can continue to help Canadians maintain and improve their health.

Health Canada is committed to protecting the health and well-being of all Canadians. By supporting healthcare innovation, we can achieve a more responsive, efficient and financially sustainable health system for generations to come. The recommendations of the Advisory Panel on Healthcare Innovation will help us move forward with this important priority. We will also continue working with the public health community, stakeholders, provinces and territories to make better use of existing resources to improve services and outcomes for Canadians.

We will also accelerate our commitment to openness and transparency. Health Canada will roll out new initiatives under the world-leading Regulatory Transparency and Openness Framework and Action Plan. As a result, Canadians will have access to more health and safety information than ever before about the products they use every day for themselves and their families.

At the same time, we will continue to modernize health protection legislation, regulations and delivery. With the recent passage of the Protecting Canadians from Unsafe Drugs ActFootnote i , or Vanessa's Law, Health Canada will have the authority to remove unsafe drugs from store shelves and enforce tougher criminal sentences for selling unsafe products, and impose higher fines. The Government is also committed to working on a number of other initiatives including improving the way nutrition information is presented on packaged foods and combatting prescription drug abuse.

Health Canada will also continue its efforts towards improving service delivery models in First Nations communities, to support modern, sustainable, high quality healthcare, by advancing alignment and coordination of primary healthcare programs and services with provinces and territories. We will also work with other government departments and First Nations and Inuit partners to invest in culturally-appropriate community-based programs focused on community health, disease prevention, mental wellness, addiction prevention and treatment services.

As we look to the year ahead, I am confident that by achieving the objectives we have set out in this plan, we will continue to improve the health and safety of all Canadians.

The Honourable Rona Ambrose, PC., M.P.
Minister of Health

Section I: Organizational Expenditure Overview

Organizational Profile

Appropriate Minister: The Honourable Rona Ambrose, PC., M.P.

Institutional Head: Simon Kennedy

Ministerial Portfolio: Health

Enabling Instrument(s):  Canada Health ActFootnote ii,  Canada Consumer Product Safety ActFootnote iii,  Controlled Drugs and Substances ActFootnote iv,  Food and Drugs ActFootnote v,  Tobacco ActFootnote vi,  Hazardous Products ActFootnote vii,  Hazardous Materials Information Review ActFootnote viii,  Department of Health ActFootnote ix,  Radiation Emitting Devices ActFootnote x,  Pest Control Products ActFootnote xi.

List of Acts and RegulationsFootnote xii

Year of Incorporation / Commencement: 1913

Other: Canadian Food Inspection Agency joined the Health Portfolio in October 2013.

Organizational Context

Raison d'être

Health Canada regulates specific products and controlled substances, works with partners to support improved health outcomes for First Nations and Inuit, supports innovation and information sharing in Canada's health system to help Canadians maintain and improve their health, and contributes to strengthening Canada's record as a country with one of the healthiest populations in the world.

The Minister of Health is responsible for this organization.

Responsibilities

First, as a regulator, Health Canada is responsible for the regulatory regimes governing the safety of products including food, pharmaceuticals, medical devices, natural health products, consumer products, chemicals, radiation emitting devices, cosmetics and pesticides. It also regulates tobacco products and controlled substances and helps manage the health risks posed by environmental factors such as air, water, radiation and contaminants.

Health Canada is also a service provider.For First Nations and Inuit, Health Canada supports: basic primary care services in remote and isolated communities and public health programs including communicable disease control (outside the territories); home and community care; and, community-based health programs focusing on children and youth, mental health and addictions. Health Canada also provides a limited range of medically-necessary, health-related goods and services to eligible First Nations and recognized Inuit when not otherwise provided through other public programs or private insurance plans.

Health Canada is a catalyst for innovation, a funder, and an information provider in Canada's health system. It works closely with provincial and territorial governments to develop national approaches to health system issues, and promotes the pan-Canadian adoption of best practices. It administers the  Canada Health Act, which embodies national principles for a universal and equitable, publicly-funded health care system. It provides policy support for the federal government's Canada Health Transfer to provinces and territories, and provides funding through grants and contributions to various organizations to help meet overall health system objectives. Health Canada draws on leading-edge science and policy research to generate and share knowledge and information to support decision-making by Canadians, the development and implementation of regulations and standards, and health innovation.

Strategic Outcome(s) and Program Alignment Architecture

• 1 Strategic Outcome:A health system responsive to the needs of Canadians
  • 1.1 Program: Canadian Health System Policy
    • 1.1.1 Sub-Program: Health System Priorities
    • 1.1.2 Sub-Program: Canada Health Act Administration
  • 1.2 Program: Specialized Health Services
  • 1.3 Program: Official Language Minority Community Development
• 2 Strategic Outcome: Health risks and benefits associated with food, products, substances, and environmental factors are appropriately managed and communicated to Canadians
  • 2.1 Program: Health Products
    • 2.1.1 Sub-Program: Pharmaceutical Drugs
    • 2.1.2 Sub-Program: Biologics & Radiopharmaceuticals
    • 2.1.3 Sub-Program: Medical Devices
    • 2.1.4 Sub-Program: Natural Health Products
  • 2.2 Program: Food Safety and Nutrition
    • 2.2.1 Sub-Program: Food Safety
    • 2.2.2 Sub-Program: Nutrition Policy and Promotion
  • 2.3 Program: Environmental Risks to Health
    • 2.3.1 Sub-Program: Climate Change and Health
    • 2.3.2 Sub-Program: Air Quality
    • 2.3.3 Sub-Program: Water Quality
    • 2.3.4 Sub-Program: Health Impacts of Chemicals
  • 2.4 Program: Consumer Product and Workplace Chemical Safety
    • 2.4.1 Sub-Program: Consumer Product Safety
    • 2.4.2 Sub-Program: Workplace Chemical Safety
  • 2.5 Program: Substance Use and Abuse
    • 2.5.1 Sub-Program: Tobacco
    • 2.5.2 Sub-Program: Controlled Substances
  • 2.6 Program: Radiation Protection
    • 2.6.1 Sub-Program: Environmental Radiation Monitoring and Protection
    • 2.6.2 Sub-Program: Radiation Emitting Devices
    • 2.6.3 Sub-Program: Dosimetry Services
  • 2.7 Program: Pesticides
• 3 Strategic Outcome: First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status
  • 3.1 Program: First Nations and Inuit Primary Health Care
    • 3.1.1 Sub-Program: First Nations and Inuit Health Promotion and Disease Prevention
      • 3.1.1.1 Sub-Sub Program: Healthy Child Development
      • 3.1.1.2 Sub-Sub Program: Mental Wellness
      • 3.1.1.3 Sub-Sub Program: Healthy Living
    • 3.1.2 Sub-Program: First Nations and Inuit Public Health Protection
      • 3.1.2.1 Sub-Sub Program: Communicable Disease Control and Management
      • 3.1.2.2 Sub-Sub Program: Environmental Public Health
    • 3.1.3 Sub-Program: First Nations and Inuit Primary Care
      • 3.1.3.1 Sub-Sub Program: Clinical and Client Care
      • 3.1.3.2 Sub-Sub Program: Home and Community Care
  • 3.2 Program: Supplementary Health Benefits for First Nations and Inuit
  • 3.3 Program: Health Infrastructure Support for First Nations and Inuit
    • 3.3.1 Sub-Program: First Nations and Inuit Health System Capacity
      • 3.3.1.1 Sub-Sub Program: Health Planning and Quality Management
      • 3.3.1.2 Sub-Sub Program: Health Human Resources
      • 3.3.1.3 Sub-Sub Program: Health Facilities
    • 3.3.2 Sub-Program: First Nations and Inuit Health System Transformation
      • 3.3.2.1 Sub-Sub Program: Systems Integration
      • 3.3.2.2 Sub-Sub Program: e-Health Infostructure
    • 3.3.3 Sub-Program: Tripartite Health Governance
• Internal Services
  • IS 1: Management and Oversight Services
  • IS 2: Communications Services
  • IS 3: Legal Services
  • IS 4: Human Resources Management Services
  • IS 5: Financial Management Services
  • IS 6: Information Management Services
  • IS 7: Information Technology Services
  • IS 8: Real Property Services
  • IS 9: Materiel Services
  • IS 10: Acquisition Services

Organizational Priorities

Priority I - Support health system innovation

Type^{Footnote 1} : Ongoing

Strategic Outcome(s) [and/or] Program(s): 1.1, 1.3

Why is this a priority?

The health care system is vital to addressing the health needs of Canadians. Although health care delivery is primarily under provincial and territorial jurisdiction, the federal government has an ongoing role in providing financial support through fiscal transfers to the provinces and territories, maintaining the core principles of the  Canada Health Act, and supporting health care innovation and collaboration across the country. Health Canada can contribute to improving the quality and sustainability of health care as the system continues to evolve in a context of technological and social changes, demographic shifts and fiscal pressures.

What are the plans for meeting this priority?

• Work with provinces, territories and other health care partners on health system renewal, innovation and sustainability, building on the recommendations of the Minister's Advisory Panel on Healthcare Innovation.
• Address priority health issues through collaboration with stakeholders and key pan-Canadian organizations, and the management of contribution programs and grants.

Priority II - Strengthen openness and transparency as modernization of health protection legislation, regulation and delivery continues

Type: Previously committed to

Strategic Outcome(s) [and/or] Program(s): SO2

Why is this a priority?

Health Canada's operating environment is constantly evolving. For example, ongoing globalization creates international supply chains; the speed of innovation continues to accelerate; and there is increased demand for greater openness and transparency. Credible and timely information is critical for empowering Canadians to make informed health decisions and supports businesses' responsibility for the safety of their products. Therefore, continuing to modernize Health Canada's regulatory frameworks and service delivery models, as well as ongoing efforts to further strengthen our openness and transparency, remains a key priority for the Department. This will enable Health Canada to maintain a sustainable, modern regime that meets the needs of Canadians both now and into future.

What are the plans for meeting this priority?

• Implement Health Canada's Regulatory Transparency and Openness Framework Action Plan by pro-actively releasing regulatory information in useful formats, engaging Canadians and creating opportunities to dialogue with our stakeholders.
• Modernize nutritional information on food labels and promote awareness, understanding and use of food labels to support Canadians in making healthy eating decisions.
• Implement the Globally Harmonized System of Classification and Labelling of Chemicals, through ongoing stakeholder engagement and the provision of guidance regarding the new Hazardous Products RegulationsFootnote xiii.
• Review, update, and improve Pest Control Product RegulationsFootnote xiv, focusing on those that guide incident reporting and generic pesticides, and those that align its regulatory approaches with major Organization for Economic Co-operation and Development countries.

Priority III - Strengthen First Nations and Inuit health programming

Type: Ongoing

Strategic Outcome(s) [and/or] Program(s): SO3

Why is this a priority?

First Nations and Inuit continue to experience serious health challenges. Health Canada plays an important role in supporting the delivery of, and access to, health programs and services for First Nations and Inuit. Health Canada works with partners on innovative approaches to strengthen access to, and better integration of health services, as well as to encourage greater control of health care delivery by First Nations and Inuit. In addition, Health Canada also continues to work with partners to further the implementation of a Strategic Plan, which provides stronger coherence and direction for Health Canada's activities in this area, and demonstrates how the Department collectively contributes to improving health outcomes for First Nations and Inuit.

What are the plans for meeting this priority?

• Strengthen access, quality and safety across the continuum of health services.
• Advance collaborative efforts with First Nations and Inuit, provinces/territories and other federal government departments, the Health Portfolio, and other key partners to ensure quality and effective service delivery.
• Improve quality and availability of comprehensive mental health and addictions services.
• Support effective delivery of Non-Insured Health Benefits.
• Pursue long-term service transformation opportunities.
• Improve availability of and access to high quality data to strengthen primary care and public health service delivery models and to better inform decision making, performance measurement and reporting.

Priority IV - Maintain and foster an engaged, high performing and diverse workforce and workplace

Type: New

Strategic Outcome(s) [and/or] Program(s): Internal Services

Why is this a priority?

Health Canada's greatest strength is an engaged, empowered and well equipped workforce with employees that have the competencies, tools and opportunities to succeed in the pursuit of excellence in program and service delivery.

One of the key priorities for the Government of Canada, as referenced in the Clerk's 21st Report to the Prime Minister for Public Service Modernization, is to ensure a highly engaged, healthy, productive and effective workforce. Health Canada is achieving this by cultivating innovation and respect, communication, and recognition, which will lead to improved productivity and excellence in service to Canadians in our ever changing work environment.

What are the plans for meeting this priority?

• Empower staff to focus on higher value analytical and advisory functions, and respond rapidly to changing needs by integrating financial and non-financial planning as the foundation of accessible and accurate decision-ready performance information.
• Continue to implement the Performance Management initiative, and a new Canada School of Public Service learning model as part of an overall talent management strategy to support and sustain a culture of high performance.
• Continue to implement the Multi-Year Diversity and Employment Equity Plan ensuring a diverse workforce.
• Continue to implement Workplace 2.0 including collaborative tools, mobile devices and applications, and Public Works and Government Services Canada workplace standards.

Risk Analysis

Health Canada operates in a dynamic environment and faces many challenges and opportunities as it delivers its mandate and contributes towards the achievement of the Government of Canada's priorities and commitments. Effective risk management equips Health Canada to respond proactively to change and uncertainty by defining and understanding its operating environment and the factors that drive risks.

A well-defined governance structure has been established within Health Canada to implement and sustain effective risk-management practices throughout the organization. The governance structure and processes for risk management are set out in detail in the recently updated Departmental Integrated Risk Management Framework.

A key output of the integrated risk management approach at Health Canada is the Corporate Risk Profile (CRP). The CRP, which is aligned with the Report on Plans and Priorities and updated annually, positions Health Canada to be able to communicate the key threats and opportunities that have the potential to affect the achievement of its mandate and the management strategies to address these risks. This year, as part of the process to develop the annual CRP, senior management had several discussions on the key risks facing the Department and risk response strategies.

Through these discussions, it became apparent that Canada's changing demographic profile is impacting the type and scope of programs that Health Canada provides and supports. In addition, the interconnected information society where Canadians have rapid access to a plethora of information from numerous sources of varying scientific quality and accuracy is challenging the Department to find new ways to provide credible health information to Canadians in a timely, open and transparent manner. The speed with which new innovative health products and processes are being developed and brought to the marketplace both nationally and internationally is also challenging our regulatory framework and processes.

The following table outlines Health Canada's key external corporate risks and opportunities. It also includes proposed strategies to manage the risks and how they link to Health Canada's Program Alignment Architecture. Each risk will be monitored to ensure the associated risk response strategies are helping to reduce the risk's impact.

Next Steps

Health Canada will complete the development of its 2015-16 CRP and continue to promote the application of risk management in relevant areas and activities. The objective is to be comprehensive, systematic, proactive and adaptive in response to strategic and operational uncertainties through effective risk management of departmental priorities and program commitments.

Planned Expenditures

Note: For the 2012-13 to 2014-15 periods, total spending includes all Parliamentary appropriation sources: Main Estimates, Supplementary Estimates, and funding from various Treasury Board votes. For the 2015-16 to 2017-18 periods, total spending corresponds to planned spending where funding through Supplementary Estimates and carry forward adjustments are not reflected and hence totals for these years are lower. 

The 2013-14 expenditures are greater than future years' planned spending primarily due to savings achieved through simplifying and streamlining operations and the expiration of certain time-limited spending authorities for which renewals may be sought. However, Strategic Outcome 3 does show an increase in 2014-15 over 2013-14 due to the inclusion of funding for the stabilization of First Nations Inuit health programming and the British Columbia Tripartite Framework agreement.

The increase in planned spending in 2016-17 under Strategic Outcome 1 is mainly due to the reprofiling of the Multi-Year Contribution Agreement to establish the Canada Brain Research Fund to advance knowledge for the treatment of brain disorders.

The decrease in planned spending in 2016-17 under Strategic Outcome 2 is mainly due to the sunsetting of time-limited spending authorities relating to the following initiatives: Chemicals Management Plan, Clean Air Regulatory Agenda, Adaptation to Climate Change under Canada's Clean Air Agenda, and Funding relating to the assessment, management, and remediation of federal contaminated sites.

The decrease in planned spending in 2016-17 under Strategic Outcome 3 is mainly due to the sunsetting of time-limited spending authorities relating to the Indian Residential Schools Resolution Health Support Program and First Nations Water and Wastewater Action Plan.

The decrease in planned spending in 2016-17 under Internal Services is mainly due to the sunsetting of time-limited spending authorities indicated under Strategic Outcomes 2 and 3.

The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Alignment of Spending With the Whole-of-Government Framework

Departmental Spending Trend

The changes in planned spending are associated primarily with the renewal of certain sunset programs that are under further review and consideration by the government. These are partially offset by continued savings identified as part of the Economic Action Plan 2012, which include:

• Refocusing government programs to better align spending with the priorities of Canadians.
• Modernizing and streamlining back office administrative functions.

Estimates by Vote

For information on Health Canada's organizational appropriations, consult the  2015-16 Main Estimates on the Treasury Board of Canada Secretariat websiteFootnote xvi .

Section II: Analysis of Programs by Strategic Outcome

Strategic Outcome 1: A health system responsive to the needs of Canadians

Program 1.1: Canadian Health System Policy

Description

The Canadian Health System Policy program provides strategic policy advice, research, and analysis to support decision-making on health care system issues, as well as program support to provinces and territories, partners, and stakeholders on health care system priorities.

Mindful of equity, sustainability, and affordability Health Canada collaborates and targets its efforts in order to support improvements to the health care system such as improved access, quality, and integration of health care services.

Through the management of grants and contributions agreements with key pan-Canadian health partners, the Canadian Health System Policy program contributes to priority health issues requiring national leadership and strong partnership.

The program objective is to support innovative health care policy and programs to help Canadians maintain and improve their health.

Note: The increase in planned spending in 2016-17 is mainly due to the reprofiling of the Multi-Year Contribution Agreement to establish the Canada Brain Research Fund to advance knowledge for the treatment of brain disorders.

The decrease in the planned spending in 2017-18 is mainly due to the sunsetting of current funding for the: Multi-Year Contribution Agreement to establish the Canada Brain Research Fund, and Territorial Health Investment Fund. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority I, described in the section Organizational Priorities. As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Based on the recommendations of the Minister's Advisory Panel on Healthcare Innovation, expected in May 2015, work with stakeholders, including provincial and territorial governments, non-government organizations, pan-Canadian health partners, and Canadians to strengthen the contribution of Health Canada's policies and programs in support of and the sustainability of the health system.
• Work with Canada Health Infoway in collaboration with provinces and territories and other stakeholders to advance innovation in the health system through electronic health technologies.
• Continue to modernize processes for the management of grants and contributions, including completing an automated performance measurement pilot, strengthening knowledge translation and financial oversight, and enhancing the new Grants and Contributions Information Management System.
• Conduct research, analysis and policy work on healthcare system issues such as health expenditures and funding, palliative and end-of-life care, aging and disease patterns, mental health, and health technology with a focus on equity, sustainability, and affordability in the Canadian healthcare system.
• Monitor and analyze emerging trends and drivers in health technologies policy both in Canada and internationally and brief on the potential impact on health technology management and approaches to advance this area in Canada.

Sub-Program 1.1.1: Health System Priorities

Description

Through the Health System Priorities program, Health Canada works closely with provincial and territorial governments, domestic and international organizations, health care providers, and other stakeholders to develop and implement innovative approaches, improve accountability, and responses to meet the health priorities and health services needs of Canadians. Key activities include increasing the supply of health professionals, timely access to quality health care services, and accelerating the development and implementation of electronic health technologies.

This program uses funding from the following transfer payments: Brain Canada Foundation, Canadian Agency for Drugs and Technologies in Health, Canadian Institute for Health Information (CIHI), Canadian Partnership Against Cancer, Canadian Patient Safety Institute, Health Care Policy Contribution Program, Mental Health Commission of Canada, Mood Disorders Society of Canada, Canada Health Infoway, McMaster University's Teams Advancing Patient Experience: Strengthening Quality, Pallium Foundation of Canada, and Canadian Foundation for Health Care Improvement.

The program objective is to ensure that Canadians have access to quality and cost-effective health care services.

Note: The increase in planned spending in 2016-17 is mainly due to the reprofiling of the Multi-Year Contribution Agreement to establish the Canada Brain Research Fund to advance knowledge for the treatment of brain disorders.

The decrease in the planned spending in 2017-18 is mainly due to the sunsetting of current funding for the: Multi-Year Contribution Agreement to establish the Canada Brain Research Fund, and Territorial Health Investment Fund. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority I, described in the section Organizational Priorities. As part of this program, Health Canada will continue to support initiatives contributing to health system improvements. For 2015-16, this will include:

• Support to build capacity in palliative care by developing training resources for front-line healthcare providers via a contribution of $ 3 million over four years to the Pallium Foundation of Canada.
• Support for innovative brain research through the Canada Brain Research Fund, whereby resources raised by the Brain Canada Foundation will be matched by Health Canada, up to $20 million.
• Continue annual support of $14 million for the Mental Health Commission of Canada and its priorities of fostering change in the mental health system, reducing the stigma associated with mental illness, combatting suicide, supporting mental health education and awareness, and promoting Changing Directions, Changing Lives - Canada's national mental health strategy.
• Provide $47.5 million in funding to the Canadian Partnership Against Cancer Corporation to continue its work on key health issues on cancer control such as high-quality cancer screening, population health research, Canadians living in rural and remote areas, and First Nations, Inuit and Métis people Action Plan on Cancer Control.
• Strategic management of the Canadian Agency for Drugs and Technologies in Health contribution agreement with funding of $16.1 million, support for the expanded mandate of the Common Drug Review program and the renewed focus on Health Technology.
• Support for the Canadian Institute for Health Information with a contribution of $ 77.7 million.
• Support health system innovation, access to health human resources, and the integration of internationally educated health professionals by providing up to $25.7 million in funding to advance the objectives of the Health Care Policy Contribution Program, whereby Health Canada will work to enhance collaborative working relationships with government and non-government stakeholders through the implementation of contribution agreements, and through a variety of stakeholder engagement activities.
• Support to the Canadian Patient Safety Institute's efforts to improve the safety of healthcare, for which the Department is committing $7.6 million, including support to develop an Integrated Patient Safety Action Plan.
• Work with the Canadian Foundation for Healthcare Improvement in support of its mandate to accelerate healthcare improvement and transformation as it draws $11 million down from its endowment funding.

Sub-Program 1.1.2: Canada Health Act Administration

Description

The administration of the  Canada Health Act involves monitoring a broad range of sources to assess the compliance of provincial and territorial health insurance plans with the criteria and conditions of the Act, working in partnership with provincial and territorial governments to investigate and resolve concerns which may arise, providing policy advice and informing the Minister of possible non-compliance with the Act, recommending appropriate action when required, and reporting to Parliament on the administration of the Act.

The program objective is to facilitate reasonable access to insured health care services without financial or other barriers.

Note: The decrease in planned spending in 2016-17 is due to incremental funding transferred to the Canada School of Public Service to support enterprise-wide approach learning.

Planning Highlights

Health Canada will continue to monitor provincial and territorial health care insurance plans and work with provinces and territories to address possible compliance issues. Health Canada will also pursue, in collaboration with provincial and territorial health departments, activities to encourage better reporting and compliance with the principles of the  Canada Health Act.

Program 1.2: Specialized Health Services

Description

The Specialized Health Services program supports the Government of Canada's obligation to protect the health and safety of its employees and the health of visiting dignitaries.

Health Canada delivers counselling, organizational development and critical incident support services to federal government departments through a network of contracted mental health professionals and also provides immediate response to employees following traumatic incidents in the workplace.

Health Canada delivers occupational health and occupational hygiene consultative services to ensure that public servants meet medical requirements to safely and effectively perform their duties and to prevent work-related illness and injury. Health Canada pro-actively contributes to reducing the number of work days lost to illness across the federal government through the provision of the occupational and psycho social health services to federal public servants.

Health Canada also arranges for the provision of health services for Internationally Protected Persons (IPP) who have come to Canada for international events, such as meetings or official visits by government leaders or the Royal Family. An IPP is a representative of a State, usually Heads of State and/or Government, members of the Royal Family, or officials of an international organization of an intergovernmental character.

The program objective is to ensure continuity of services and the occupational health of federal public servants who can deliver results to Canadians in all circumstances and to arrange health services for IPPs.

Note: The decrease in planned spending and FTEs in 2016-17 is due to the sunsetting of time-limited spending authorities relating to the Government of Canada's Provision of Essential Federal Services to the Toronto 2015 Pan American and Parapan American Games. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, as part of this program, Health Canada will support the Government of Canada's obligation to protect the health of its employees and Internationally Protected Persons visiting Canada in 2015-16.

Health Canada will also continue to collaborate with the Treasury Board Secretariat and other departments to contribute to the Government of Canada's Workplace Wellness and Productivity Strategy.

Program 1.3: Official Language Minority Community Development

Description

The Official Language Minority Community Development program involves the administration of Health Canada's responsibilities under Section 41 of the  Official Languages Act^{Footnote xvii} . This Act commits the federal government to enhancing the vitality of official language minority communities and fostering the full recognition and use of English and French in Canadian society.

This program includes: consulting with Canada's official language minority communities on a regular basis; supporting and enabling the delivery of contribution programs and services for official language minority communities; reporting to Parliament and Canadians on Health Canada's achievements under Section 41; and, coordinating Health Canada's activities and awareness in engaging and responding to the health needs of official language minority communities.

The program objectives are to improve access to health services in the minority official language communities and to increase the use of both official languages in the provision of health care services.

This program uses funding from the following transfer payment: Official Languages Health Contribution Program.

Note: The increase in planned spending in 2016-17 followed by a reduction in planned spending in 2017-18 is due to changes in funding levels received for the Official Language Roadmap for Canada's Linguistic Duality.

Planning Highlights

In addition to the expected results identified above, as part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Support the implementation and management of its programs and services to Canadians taking into account the diversity and geographic distribution of official language minority communities across Canada. The Department will continue to provide funding to community-based organizations and academic institutions to improve access to health services for English-speaking communities in Quebec and French-speaking communities elsewhere in Canada.
• Conduct public consultations with official language minority communities and monitor progress in the implementation of Health Canada's initiatives under the horizontal Roadmap for Canada's Official Languages 2013-2018: Immigration, Education, Communities.
• Support health organizations contributing to the improved access to health services in the minority official language:
  • Provide $7 million to the Société Santé en français and $5.01 million to the Community Health and Social Services Network to fund the operation of 36 active health networks, which will carry out projects within English and French-speaking minority communities.
  • Provide $17.3 million to the Consortium national de formation en santé and its member institutions for French-language health programs in colleges and universities outside Quebec, and $4.43 million to McGill University to offer language training to healthcare staff members to better serve English-speaking communities in Quebec.
  • Provide $2.66 million to government and community organizations to carry out innovative health services access and retention projects, including new recipients such as the Association canadienne française de l'Alberta (Régionale de Calgary), the Association of Faculties of Medicine of Canada, Action on Mental Illness Quebec, the Ottawa Cancer Foundation, the Centre communautaire Sainte-Anne, the Fédération des parents du Manitoba, and Health Prince Edward Island.

Strategic Outcome 2: Health risks and benefits associated with food, products, substances, and environmental factors are appropriately managed and communicated to Canadians

Program 2.1: Health Products

Description

The  Department of Health Act, and the  Food and Drugs Act and Regulations provide the authority for Health Canada to develop, maintain, and implement a regulatory framework associated with a broad range of health products that affect the everyday lives of Canadians, including pharmaceutical drugs, biologics and radiopharmaceuticals, medical devices, and natural health products.

Health Canada verifies that the regulatory requirements for the safety, quality, and efficacy of health products are met through risk assessments, including monitoring and surveillance, compliance, and enforcement activities.

In addition, Health Canada provides evidence-based, authoritative information to Canadians and key stakeholders, including health professionals such as physicians, pharmacists and natural health practitioners, to enable them to make informed decisions.

The program objective is to ensure that health products are safe, effective, and of high quality for Canadians.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan and the Canadian HIV Vaccine Initiative. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending and FTEs in 2017-18 is mainly due to the 2% increase in user fees relating to the Human Drugs and Medical Devices program.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Use new authorities under the Protecting Canadians from Unsafe Drugs Act as required, such as the power to recall unsafe drugs, the power to require labelling or packaging changes, and increased fines and penalties. New requirements to disclose certain drug information and decisions are expected to increase transparency of drug safety information.
• Improve access to information on health products to better inform Canadians on healthy choices. In particular, new health product datasets will be available publicly to support the Department's Transparency and Openness Framework.

Sub-Program 2.1.1: Pharmaceutical Drugs

Description

The  Food and Drug Regulations^{Footnote xviii} provide the regulatory framework to develop, maintain and implement the Pharmaceutical Drugs program, which includes pharmaceutical drugs for human and animal use, including prescription and non-prescription drugs, disinfectants, and sanitizers with disinfectant claims.

Health Canada verifies that regulatory requirements for the safety, quality, and efficacy of pharmaceutical drugs are met through risk assessments, including monitoring and surveillance, compliance, and enforcement activities.

In addition, the program provides information to Canadians and key stakeholders, including health professionals, such as physicians and pharmacists, to enable them to make informed decisions about the use of pharmaceutical drugs.

The program objective is to ensure that pharmaceutical drugs in Canada are safe, effective and of high quality.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending and FTEs in 2017-18 is mainly due to the 2% increase in user fees relating to the Human Drugs and Medical Devices program.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Improve the safe use of drugs by making drug labels and safety information easier to read and understand. Canadians and stakeholders will be better informed of the risks associated with the use of pharmaceutical drugs.
• Improve stewardship of medically important antimicrobial drugs used in veterinary medicine and livestock production by working with stakeholders in strengthening the regulatory framework for veterinary drugs, including facilitating access to alternatives.

Sub-Program 2.1.2: Biologics and Radiopharmaceuticals

Description

The  Food and Drug Regulations,  Safety of Human Cells, Tissues and Organs for Transplantation Regulations^{Footnote xix} , and the  Processing and Distribution of Semen for Assisted Conception Regulations^{Footnote xx}  provide the regulatory framework to develop, maintain, and implement the Biologics and Radiopharmaceuticals program, which includes blood and blood products, viral and bacterial vaccines, gene therapy products, tissues, organs, and xenografts, which are manufactured in Canada or elsewhere.

Health Canada verifies that regulatory requirements for the safety, quality, and efficacy of biologics and radiopharmaceuticals are met through risk assessments, including monitoring and surveillance, compliance, and enforcement activities.

In addition, the program provides information to Canadians and key stakeholders, including health professionals such as physicians and pharmacists, to enable them to make informed decisions about the use of biologics and radiopharmaceuticals.

The program objective is to ensure that biologics and radiopharmaceuticals in Canada are safe, effective and of high quality.

This program uses funding from the following transfer payments: Canadian Blood Services (CBS), Blood Safety and Effectiveness Research and Development, and Contribution to Strengthen Canada's Organs and Tissues Donation and Transplantation System.

Note: The decrease in planned spending in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan and the Canadian HIV Vaccine Initiative. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending and FTEs in 2017-18 is mainly due to the 2% increase in user fees relating to the Human Drugs and Medical Devices program.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, specifically Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Enhance Canadians' access to drugs for rare diseases by advancing the Orphan Drugs framework that supports a regulatory life-cycle approach, from designation to ongoing post-market oversight.
• Support regenerative medicine research initiatives by developing clear regulatory guidance documents and working closely with Canadian cell therapy investigators to navigate federal safety regulations applicable to advanced cell therapy products for human use.
• Implement internationally recognized standards for Biologics business processes as a World Health Organization collaborating centre and seeking ISO 9001 certification by July 2015. The resulting business improvements facilitate the provision of high quality and timely risk-based decisions on the safety, effectiveness and quality of biologics and radiopharmaceuticals for Canadians.
• Continue to fund the CBS under a five-year agreement ending March 31, 2018, to conduct research and development projects and carry out knowledge exchange activities related to blood, blood components and hematopoietic stem cells, and transfusion science and medicine in order to generate evidence-based knowledge.
• Improve the framework for regulating human blood and its components. Specific regulations for human blood and its components intended for transfusion or for further manufacturing into human drugs have come into force. Work to support these new regulations will continue in 2015-16.
• The CBS Organ and Tissue Donation and Transplantation (OTDT) six-year agreement ended March 31, 2014. Following Federal/Provincial/Territorial (F/P/T) discussion, CBS was requested to submit a three-year F/P/T integrated proposal for the OTDT program. This proposal received Health Canada approval on August 11, 2014. It is expected that a Health Canada contribution funding agreement will be signed with CBS for a total of $10.74 million over three years ending March 31, 2017. This federal funding will enable the enhancement of national governance in the organ system and national data analytics, public education, and professional education. Over the course of the next three years, Health Canada and the P/T Blood Liaison lead will collaborate more closely on the OTDT program.

Sub-Program 2.1.3: Medical Devices

Description

The  Medical Devices Regulations^{Footnote xxi}  provide the regulatory framework to develop, maintain, and implement the Medical Devices program, which includes medical devices used in the treatment, mitigation, diagnosis, or prevention of a disease or an abnormal physical condition in humans.

Health Canada verifies that regulatory requirements for the safety, quality, and efficacy of medical devices are met through risk assessments, including monitoring and surveillance, compliance, and enforcement activities.

In addition, the program provides information to Canadians and key stakeholders, including health professionals, such as physicians and pharmacists, to enable them to make informed decisions about the use of medical devices.

The program objective is to ensure that medical devices in Canada are safe, effective and of high quality.

Note: The decrease in planned spending in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in FTEs is mainly due to the 2% increase in user fees relating to the Human Drugs and Medical Devices program.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Align Health Canada with other international regulators to facilitate the efficient processing of medical device applications and enhance the collection and analysis of problem reports by developing the necessary IT tools.
• Develop a Medical Devices Single Audit Program intended to establish a common set of guidelines and standards for audits of Medical Device manufacturers globally.

Sub-Program 2.1.4: Natural Health Products

Description

The  Natural Health Product Regulations^{Footnote xxii}  provide the regulatory framework to develop, maintain and implement the Natural Health Products program, which includes herbal remedies, homeopathic medicines, vitamins, minerals, traditional medicines, probiotics, amino acids, and essential fatty acids.

Health Canada verifies that regulatory requirements for the safety, quality, and efficacy of natural health products are met through risk assessments, including monitoring and surveillance, compliance, and enforcement activities.

In addition, the program provides information to Canadians and key stakeholders, including health professionals such as pharmacists, traditional Chinese medicine practitioners, herbalists and naturopathic doctors, to enable them to make informed decisions about the use of natural health products.

The program objective is to ensure that natural health products in Canada are safe, effective and of high quality.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly relating to streamlining government import regulations and border processes for commercial trade.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiative in 2015-16:

• Develop a new approach for consistent and aligned regulation of consumer health products, natural health products; non-prescription drugs including disinfectants; and cosmetics, that balances safety with appropriate oversight.

Program 2.2: Food Safety and Nutrition

Description

The  Department of Health Act and the  Food and Drugs Act provide the authority for Health Canada to develop, maintain, and implement a regulatory framework associated with the safety and nutritional quality of food. Food safety standards are enforced by the Canadian Food Inspection Agency.

Health Canada develops and promotes evidence-based, national healthy eating policies and standards for Canadians and key stakeholders, including non-governmental organizations, health professionals, and industry associations to enable all stakeholders to make informed decisions about food and nutrition safety as well as healthy eating.

The program objectives are to manage risks to the health and safety of Canadians associated with food and its consumption, and to enable Canadians to make informed decisions about healthy eating.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiative in 2015-16:

• Improve nutritional information on food labels and promote awareness, understanding and use of food labels to support Canadians in making healthy eating decisions.

Sub-Program 2.2.1: Food Safety

Description

The  Food and Drug Regulations provide the regulatory framework to develop, maintain, and implement the Food Safety program.

The program is the federal health authority responsible for establishing standards, policies, and regulations pertaining to food and nutrition safety; as well as for conducting reviews and for assessing the safety of food ingredients, veterinary drugs for food producing animals, food processes, and final foods. The program conducts risk assessments pertaining to the chemical, microbiological, and nutritional safety of foods. In addition, the program plans and implements food and nutrition safety surveillance and research initiatives in support of the Department's food standard setting mandate.

The program objective is to plan and implement food and nutrition safety standards to enable Canadians to make informed decisions about food and nutrition.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiative in 2015-16:

• Enhance capacity in health risk assessment in support of horizontal Government of Canada commitments to strengthen and modernize food safety.

Sub-Program 2.2.2: Nutrition Policy and Promotion

Description

The  Department of Health Act provides the authority to develop, maintain and implement the Nutrition Policy and Promotion program.

The program develops, implements, and promotes evidence-based nutrition policies and standards, and undertakes surveillance and monitoring activities. It anticipates and responds to public health issues associated with nutrition and contributes to broader national and international strategies.

The program works collaboratively with other federal departments/agencies and provincial/ territorial governments, and engages stakeholders such as non-government organizations, health professionals, and industry associations to support a coordinated approach to nutrition issues.

The program objective is to target both Canadian intermediaries and consumers to increase knowledge, understanding, and action on healthy eating.

Note: The decrease in planned spending in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to a renewed Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified above, efforts under this sub-program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovations as described in the section Risk Analysis.

As part of this sub-program, Health Canada will undertake the following key initiative in 2015-16:

• Work in collaboration with stakeholders to advance commitments in the F/P/T Framework on Curbing Childhood Obesity through targeted knowledge development and exchange initiatives.
• Implement a more regular evidence review cycle to help ensure Canada's dietary guidance remains scientifically sound, relevant and useful.
• Develop innovative, interactive and targeted tools as a means to communicate healthy eating information to Canadians.

Program 2.3: Environmental Risks to Health

Description

The  Canadian Environmental Protection Act, 1999, and the  Department of Health Act provide the authorities for the Environmental Risks to Health program to assess and manage the health risks associated with climate change, air quality, drinking water quality, and chemical substances. This program activity links closely with Health Canada's Health Products, Food Safety and Nutrition, Consumer Product Safety and Pesticides program activities, as the  Food and Drugs Act, the  Pest Control Products Act, and the  Canada Consumer Product Safety Act (CCPSA) provide the authority to manage the health risks associated with chemical substances in products in the purview of these program activities.

Key activities include: risk assessment and management as well as research and bio-monitoring of chemical substances; provision of technical support for chemical emergencies that require a coordinated federal response; development of guidelines on indoor and outdoor air quality; development and dissemination of water quality guidelines; and, supporting the implementation of heat alert and response systems in Canadian communities.

The program objective is to protect the health of Canadians through the assessment and management of health risks associated with environmental contaminants, particularly chemical substances and to provide expert advice and guidelines to partners on the health impacts of environmental factors such as air and water contaminants and a changing climate.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the following initiatives: Chemicals Management Plan, Clean Air Regulatory Agenda, Adaptation to Climate Change under Canada's Clean Air Agenda, and Funding relating to the assessment, management, and remediation of federal contaminated sites. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified in the Program description, efforts under this program will contribute to meeting the Department's Priority II, described in the section on Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovation as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Identify and actively address the health risks associated with chemical substances using substance groupings (i.e. grouping substances based on similarities in production, toxicity and physical-chemical properties), rapid screening, research and bio-monitoring activities, in partnership with Environment Canada.
• Provide expert advice, guidance and tools to partners on the health impacts of environmental factors such as indoor and outdoor air pollution, water contaminants and a changing climate, as well as expert advice and oversight in support of activities associated with federal contaminated sites and projects undergoing federal environmental assessments.
• Conduct outreach and engagement activities to support stakeholder and public involvement in the program and raise awareness of the risks and safe use of substances.

Sub-Program 2.3.1: Climate Change and Health

Description

The Climate Change and Health program supports actions to minimize the impact of climate change on the health of Canadians under theFederal Clean Air Agenda.

A key activity in the delivery of this program is the Heat Resiliency Project, which aims to inform and advise public health agencies and Canadians on adaptation strategies to respond to extreme heat events.

This includes: development of community-based heat alert and response systems; development and dissemination of training tools, guidelines, and strategies for health professionals; collaboration with key stakeholders and partners to assess and reduce vulnerabilities to extreme heat; and scientific research on health impacts of extreme heat to support evidence based decision-making.

The program objective is to help Canadians adapt to a changing climate through measures intended to manage potential risks to their health associated with extreme heat events.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to Adaptation to Climate Change under Canada's Clean Air Agenda. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Support the implementation of Heat Alert and Response Systems in a broad cross section of at risk Canadian communities.
• Conduct research to address the gaps in key science, policy information and knowledge that currently challenge communities to adapt effectively to climate change related health risks.
• Exchange best practices with other jurisdictions to support cost effective adaptation strategies worldwide.

Sub-Program 2.3.2: Air Quality

Description

The Air Quality program assesses the health risks of indoor and outdoor pollutants, and develops guidelines and standards under the  Canadian Environmental Protection Act, 1999. These efforts support the Government of Canada's Clean Air Regulatory Agenda, implemented in partnership with Environment Canada, to manage the potential risks to the environment and to the health of Canadians associated with air quality.

The program provides health-based science and policy advice that supports actions by all levels of government to improve air quality and health of Canadians. Key activities include: leading the development of health-based air quality standards and guidelines for indoor and outdoor air; determining the health benefits of proposed actions to reduce air pollution; conducting research on the levels of exposure and health effects of indoor and outdoor air pollutants to inform the development of standards, guidelines, regulations and other actions; and, implementing the Air Quality Health Index (AQHI) in partnership with Environment Canada.

The program objective is to assess the impacts of air pollution on health and to provide guidance to governments, health professionals and the general public on how to minimize those risks.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Clean Air Regulatory Agenda. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Continue to support the implementation of the National Air Quality Management System, co-lead the development of new Canadian Ambient Air Quality Standards for sulphur dioxide and nitrogen dioxide, and review the current 2020 standards for fine particulate matter and ozone.
• Conduct research and assessments on air pollutant control measures for industry, fuels, and transportation-related sources, and collaborate with US partners on research to investigate transboundary air pollution issues.
• Continue to update health messaging to communicate the health impacts of outdoor air pollution through the AQHI and expand the use if the AQHI in Ontario and the North.
• Conduct research, assessments and communication activities on indoor air pollutants in order to provide health-based guidance to Canadians, and develop a draft product emissions standard for Volatile Organic Compound emissions from building materials in collaboration with independent standards setting organizations.

Sub-Program 2.3.3: Water Quality

Description

The Water Quality program works with key stakeholders and partners, such as the provinces and territories, under the authority of the  Department of Health Act, to establish the Guidelines for Canadian Drinking Water Quality^{Footnote xxiii} . These guidelines are used by provinces, territories, and the Government of Canada as the basis for establishing their water quality requirements.

The program also works with national and international standard-setting organizations to develop health-based standards for materials that come into contact with drinking water.

In the delivery of this program, key activities include the development and dissemination of water quality guidelines guidance documents, strategies and other tools.

The program objective is to help manage potential risks to the health of Canadians associated with water quality.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Develop and update health-based drinking water guidelines / guidance documents, used by all jurisdictions in Canada, as the basis for their regulatory requirements.
• Work with the Public Health Agency of Canada (PHAC) to develop and promote the Drinking Water Advisory application on the Canadian Network for Public Health Intelligence platform, a secure application that provides Canadian jurisdictions with a tool to track and communicate drinking water advisories.

Sub-Program 2.3.4: Health Impacts of Chemicals

Description

The  Canadian Environmental Protection Act, 1999, provides the authority for the Health Impact of Chemicals program to assess the impact of chemicals and manage the potential health risks posed by new and existing substances that are manufactured, imported, or used in Canada. This program activity links closely with Health Canada's Health Products, Food Safety and Nutrition, Consumer Product Safety and Pesticides program activities, as the  Food and Drugs Act, the  Pest Control Products Act, and the CCPSA provide the authority to manage the health risks associated with chemical substances in products in the purview of these program activities.

The Chemicals Management Plan (CMP), implemented in partnership with Environment Canada, sets priorities and timelines for risk assessment and management for chemicals of concern, as well as the supporting research and bio-monitoring initiatives.

In addition to the above risk assessment and management activities, this program provides expert health-based advice and support to other federal departments in carrying out their mandates as well as provides technical support for chemical emergencies that require a coordinated federal response.

The program objective is to identify and manage health risks to Canadians posed by chemicals of concern.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the following initiatives: Chemicals Management Plan and Funding relating to the assessment, management, and remediation of federal contaminated sites. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Conduct research, biomonitoring and surveillance activities in support of the CMP.
• Conduct risk assessments of existing substances to meet public commitments regarding the publication of draft and final Screening Assessment Reports of chemicals identified as priorities under the CMP.
• Publish risk management scopes, approaches and instruments for existing substances harmful to human health, as required.
• Conduct a scoping exercise for data collection activities for the third phase of the Domestic Substances List Inventory Update.
• Undertake engagement and outreach activities with industry, experts and non-government organizations to support the CMP.
• Conduct risk assessments on approximately 450 new substances including products of biotechnology, nanomaterials, and new substances in products regulated under the Food and Drugs Act, and develop any needed risk management measures, in collaboration with Environment Canada.
• Prioritize of the remaining substances on the revised In Commerce List (ICL), and review any nominations to the revised ICL, as required.
• Provide expert advice and oversight in support of activities associated with federal contaminated sites under the Federal Contaminated Sites Action Plan, and projects undergoing federal environmental assessments under the Canadian Environmental Assessment Act.
• Implement the results of program evaluations for the CMP, Phase II, Adaptation to Climate Change and the Clean Air Regulation Agenda.
• Publish the Canadian Health Measures Survey Cycle 3 Report on Biomonitoring Results.

Program 2.4: Consumer Product and Workplace Chemical Safety

Description

The Consumer Product and Workplace Chemical Safety program supports efforts to protect Canadians from unsafe products and chemicals.

The Consumer Product Safety program supports industry's responsibility for the safety of their products and consumers' responsibility to make informed decisions about product purchase and use, under the authorities of the CCPSA and the  Food and Drugs Act and its  Cosmetic Regulations^{Footnote xxiv} . Health Canada's efforts are focussed in three areas:active prevention; targeted oversight; and, rapid response.

The  Hazardous Products Act and the  Hazardous Materials Information Review Act provide the authorities for the Workplace Chemical Safety program to maintain a national hazard communication standard of cautionary labelling and material safety data sheets for hazardous chemicals supplied for use in Canadian workplaces and to protect related confidential business information.

The program objectives are to protect Canadians by managing the potential health and safety risks posed by consumer products and cosmetics in the Canadian marketplace and from hazardous chemicals in the workplace.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to funding of the Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified in the Program description, efforts under this program will contribute to meeting the Department's Priority II, described in the section on Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovation as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to implement the Food and Consumer Safety Action Plan including the CCPSA, which provides Health Canada with a robust set of tools to engage in active prevention, targeted oversight and rapid response to address dangers to human health or safety that are posed by consumer products.
• Continue to elaborate on the authorities under the Act and to develop supporting policy frameworks, which will help industry understand its obligations under the CCPSA and support the Department's Regulatory Transparency and Openness Framework.
• Continue to implement the Globally Harmonized System of Classification and Labelling of Chemicals.

Sub-Program 2.4.1: Consumer Product Safety

Description

The CCPSA and the  Food and Drugs Act and its  Cosmetics Regulations provide the authorities for this program to support industry's responsibility for the safety of their products and consumers' responsibility to make informed decisions about product purchase and use. Health Canada's efforts are focussed in three areas: active prevention; targeted oversight; and, rapid response.

Through active prevention, the program works with industry, standard setting bodies and international counterparts to develop standards and guidelines and share best practices as appropriate. The program also promotes consumer awareness of the safe use of certain consumer products to support informed decision-making.

Through targeted oversight, the program undertakes regular cycles of compliance and enforcement in selected product categories, and analyses and responds to issues identified through mandatory reporting, market surveys, lab results and other means.

Under rapid response, when an unacceptable risk from consumer products is identified, the program can act quickly to protect the public and take appropriate enforcement actions - including issuing consumer advisories, working with industry to negotiate recalls or other corrective measures.

The Program's objective is to manage the potential health and safety risks posed by consumer products and cosmetics in the Canadian marketplace.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to funding of the Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of the sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Review the suite of regulations under the CCPSAto verify if the approach taken is consistent with current legislative objectives, regulatory practices or government objectives in support of the Government of Canada's Regulatory Modernization Initiative.
• Enhance the development and use of standards on consumer product safety with industry, standard setting bodies and international counterparts, and share best practices as appropriate.
• Enhance compliance promotion efforts to increase industry's awareness of their obligations.
• Continue to collaborate on consumer product safety with the United States, Mexico and China, and with multi-jurisdictional organizations such the International Cooperation on Cosmetics Regulations, and the Organization for Economic Cooperation and Development.
• Continue to use a risk-based approach to provide timely and credible health and safety information to Canadians, including using social media, so that they can make informed decisions on the safe use of consumer products and cosmetics.
• Continue to apply a risk-based approach for the early detection of potentially unsafe consumer products and cosmetics by triaging and assessing incident reports, notifications, and complaints, as well as the identification of emerging trends for assessment, the Cyclical Enforcement Plan and other enforcement activities.

Sub-Program 2.4.2: Workplace Chemical Safety

Description

The  Hazardous Products Act and the  Hazardous Materials Information Review Act provide the authorities for this program to protect the health and safety of Canadian workers.

Under the  Hazardous Products Act, Health Canada regulates the sale and importation of hazardous chemicals used in Canadian workplaces by specifying the requirements for cautionary labelling and material safety data sheets.

Under the  Hazardous Materials Information Review Act, Health Canada administers a timely mechanism to allow companies to protect confidential business information, ensuring industry competitiveness, while requiring that all critical hazard information is disclosed to workers.

This program sets the general standards for the Workplace Hazardous Materials Information System (WHMIS) - a system based on interlocking federal, provincial, and territorial legislation that ensures the comprehensibility and accessibility of labels and material safety data sheets, the consistent application of classification and labelling criteria, and the alignment across Canada of compliance and enforcement activities.

The program objective is to ensure a coordinated national system that provides critical health and safety information on hazardous chemicals to Canadian workers.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Continue to align the classification and labelling of workplace chemicals and deliver on a key initiative of the Canada-United States Regulatory Cooperation Council Action Plan by implementing the Globally Harmonized System of Classification and Labelling of Chemicals.
• Continue to administer Confidential Business Information under the Hazardous Products Act and the Hazardous Materials Information Review Act.

Program 2.5: Substance Use and Abuse

Description

Under the authority of several Acts, the Substance Use and Abuse program regulates tobacco products and controlled substances.

Through the  Tobacco Act and its regulations the program regulates the manufacture, sale, labelling and promotion of tobacco products. The program leads the Federal Tobacco Control Strategy, the goal of which is to further reduce the prevalence of smoking through regulatory, programming, educational and enforcement activities.

Through the  Controlled Drugs and Substances Act (CDSA) and its regulations, the program regulates access to controlled substances and precursor chemicals to support their legitimate use and minimize the risk of diversion for illicit use. As a partner department under the National Anti-Drug Strategy (NADS), the program supports prevention, health promotion, treatment initiatives, and enforcement with the goal of reducing substance use and abuse, including prescription drug abuse.

In addition, the program provides timely, evidence-based information to key stakeholders including, but not limited to, law enforcement agencies, health professionals, provincial and territorial governments and Canadians.

The program objective is to manage risks to the health of Canadians associated with the use of tobacco products, and the illicit use of controlled substances and precursor chemicals.

Note: The increase in planned spending in 2016-17 is mainly due to a funding level increase for Preventing Prescription Drug Abuse.

The decrease in planned spending in 2017-18 is due to the sunsetting of time-limited spending authorities relating to streamlining government import regulations and border processes for commercial trade and a funding level decrease for Preventing Prescription Drug Abuse. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified in the Program description, efforts under this program will contribute to meeting the Department's Priority II, described in the section on Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovation as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue the implementation of key strategies such as the NADS, including initiatives to address prescription drug abuse, and the Federal Tobacco Control Strategy.
• Conduct ongoing surveillance and monitoring through the Canadian Student Tobacco Alcohol and Drug Survey and the Canadian Tobacco Alcohol and Drug Survey.
• Support the Parliamentary process for the Respect for Communities Act^{Footnote xxv}  regarding the establishment of supervised consumption sites.
• Continue to advance the proposed regulatory amendments to restrict further flavoured tobacco products.
• Undertake an evaluation of the Tobacco Quit line telephone and web services.

Sub-Program 2.5.1: Tobacco

Description

The  Tobacco Act provides the authority for the Tobacco program to regulate the manufacture, sale, labelling, and promotion of tobacco products.

The program also leads the Federal Tobacco Control Strategy, in collaboration with federal partners as well as provincial and territorial governments, which supports regulatory, programming, educational and enforcement activities.

Key activities under the Strategy include: compliance monitoring and enforcement of the  Tobacco Act and associated regulations; monitoring tobacco consumption and smoking behaviours; and, working with national and international partners to ensure that Canada meets its obligations under the Framework Convention on Tobacco Control.

The program objective is to prevent the uptake of tobacco use, particularly among youth, help those who currently use tobacco to quit and protect Canadians from exposure to tobacco smoke.

Note: The increase in planned spending in 2016-17 is mainly due to the refocussing of the department's Federal Tobacco Control Strategy.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will undertake the following key initiatives in 2015-16:

• Policy development for the renewal of the Federal Tobacco Control Strategy.
• Continue to engage stakeholders including non-governmental organizations, provinces and territories, international organizations and project partners.
• Continue to implement the Break It Off young adult cessation public awareness and outreach campaign.
• Continue to disseminate public education materials on tobacco use prevention, cessation and second-hand smoke.

Sub-Program 2.5.2: Controlled Substances

Description

Through the administration of the CDSA and its regulations, the program regulates the possession, production, provision and disposition of controlled substances and precursor chemicals.

Key activities include: reviewing and updating the regulatory framework and Schedules for controlled substances and precursor chemicals as required; administering regulations for licensing and compliance monitoring activities; analyzing seized materials (Drug Analysis Services); providing training as well as scientific knowledge on illicit drugs and precursor chemicals; providing assistance in investigating and dismantling clandestine laboratories; monitoring the use of drugs through surveys; and working with national and international partners for the recommendation of appropriate and scientifically sound drug analysis procedures.

As a partner in the NADS, Health Canada supports initiatives to address illicit drug use and prescription drug abuse, including: education; prevention; health promotion; and treatment for Canadians, as well as compliance and enforcement initiatives.

The program objective is to authorize legitimate activities with controlled substances and precursor chemicals, while managing the risks of diversion, abuse and associated harms.

This program uses funding from the following transfer payments: Drug Strategy Community Initiatives Fund, Drug Treatment Funding Program, and Grant to the Canadian Centre of Substance Abuse.

Note: The increase in planned spending in 2016-17 is mainly due to a funding level increase for Preventing Prescription Drug Abuse.

The decrease in planned spending in 2017-18 is due to the sunsetting of time-limited spending authorities relating to streamlining government import regulations and border processes for commercial trade and a funding level decrease for Preventing Prescription Drug Abuse.

The decrease in FTE in 2017-18 is due to the sunsetting of time-limited spending authorities relating to streamlining government import regulations and border processes for commercial trade.

The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will undertake the following key initiatives in 2015-16:

• Begin the multi-year development and implementation of a new information technology monitoring system for controlled substances (Controlled Substances and Precursor System).
• Continue to implement the Marihuana for Medical Purposes Regulations^{Footnote xxvi} .
• Strengthen the risk-based approach to compliance and enforcement for controlled substances.
• Fulfill Canada's international reporting obligations and participate in the annual United Nations Commission on Narcotic Drugs.
• Expand the NADS to address Prescription Drug Abuse and support investments to improve prescriber education and training.
• Continue to play a leadership role in the areas of treatment and prevention through multi-year projects under the new Anti-Drug Strategy Initiative (ADSI). This new program came into effect December 2014 and merges the old Drug Strategy Community Initiatives Fund and the Drug Treatment Funding Program. ADSI will address both illicit and prescription drug abuse.

Program 2.6: Radiation Protection

Description

The  Department of Health Act, the  Radiation Emitting Devices Act, and the  Comprehensive Nuclear-Test-Ban Treaty Implementation Act^{Footnote xxvii}  provide the authority for the Radiation Protection program to monitor, regulate, advise, and report on exposure to radiation that occurs both naturally and from man-made sources. In addition, the program is licensed under the Canadian Nuclear Commission's  Nuclear Safety and Control Act^{Footnote xxviii}  to deliver the National Dosimetry Service, which provides occupational radiation monitoring services.

The key components of the program are environmental monitoring, provision of technical support for a radiological /nuclear emergency that requires a coordinated federal response, occupational safety, and regulation of radiation emitting devices.

The program objective is to inform and advise other government departments, international partners, and Canadians in general about the health risks associated with radiation, and inform Canadians of strategies to manage associated risks.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Clean Air Regulatory Agenda. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified in the Program description, efforts under this program will contribute to meeting the Department's Priority II, described in the section on Organizational Priorities. The Department will also manage risks related to the ability of legislative and regulatory reform initiatives to keep pace with innovation as described in the section Risk Analysis.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Conduct research, develop and/or amend regulations, guidelines, standards and safety codes pertaining to radiation-emitting devices.
• Provide advice to other government departments, industry and the public about the health risks associated with radiation and indoor radon exposure, and mitigation strategies to manage associated risks.
• Coordinate with federal and provincial partners to ensure emergency preparedness plans are ready for execution in the event of a national emergency.

Sub-Program 2.6.1: Environmental Radiation Monitoring and Protection

Description

The Environmental and Radiation Monitoring and Protection program conducts research and monitoring activities under the authority of the  Department of Health Act and the  Comprehensive Nuclear-Test-Ban Treaty Implementation Act. The program covers both naturally occurring forms of radioactivity and radiation, such as radon, and man-made sources of radiation, such as nuclear power.

In the delivery of this program, key activities include: implementing an education and awareness program on the health risks posed by radon in indoor air and how to reduce those risks; conducting research and risk assessment on the health effects of radiation; installing and operating monitoring stations to monitor for evidence of any nuclear explosion; and, reporting to the Comprehensive Nuclear-Test-Ban Treaty Organization and the International Atomic Energy Agency.

This program is also responsible for coordinating the Federal Nuclear Emergency Plan (FNEP). In the case of a radio-nuclear emergency that requires a coordinated federal response, Health Canada coordinates the federal technical/scientific support to provinces/territories.

The program objectives are to monitor and help inform Canadians of potential harm to their health and safety associated with environmental radiation.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Clean Air Regulatory Agenda. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Support the renewed FNEP, by participating in Exercise Intrepid'15 in November 2015 in New Brunswick with response partners including the province of New Brunswick and the Point Lepreau Nuclear Generating Station.
• Maintain and operate Canada's national radioactivity surveillance and monitoring capabilities in support of the Comprehensive Nuclear Test Ban Treaty obligations, FNEP responsibilities, and as a basis for exposure risk assessment for Canadians.
• Prepare for and provide support during the Pan Am and Parapan Am Games scheduled for July and August 2015.
• Inform Canadians, through outreach and engagement activities, about the health risks posed by radon in indoor air and how to reduce those risks, including by supporting the "National Radon Action Month" in November 2015, as part of the third annual collaborative multi-stakeholder radon outreach campaign.

Sub-Program 2.6.2: Radiation Emitting Devices

Description

Under the authority of the  Radiation Emitting Devices Act, this program regulates radiation emitting devices, such as equipment for clinical/analytical purposes (X-rays, mammography, ultrasound), microwaves, lasers, and tanning equipment.

In the delivery of this program, key activities include: compliance assessment of radiation emitting devices at federally regulated facilities, research into the health effects of radiation (including noise, ultraviolet, and non-ionizing radiation from wireless devices such as cell phones and WiFi equipment); and, development of standards and guidelines for the safe use of radiation emitting devices.

The program provides expert advice and information to Canadians, as well as to other Health Canada programs, federal departments, and provincial authorities so that they may fulfil their legislative mandates.

The program objective is to manage the risks to the health of Canadians from radiation emitting devices.

Note: The increase in planned spending in 2016-17 is due to increased funding relating to streamlining government import regulations and border processes for commercial trade.

The decrease in planned spending in 2017-18 is due to the sunsetting of time-limited spending authorities relating to streamlining government import regulations and border processes for commercial trade. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The decrease in FTE in 2016-17 is due to reduced salary funding relating to streamlining government import regulations and border processes for commercial trade.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Develop and/or amend guidelines, regulations and safety codes to ensure the safe use of radiation emitting devices, as required.
• Respond to public and stakeholder enquiries.
• Implement the second round of the cyclical enforcement plan for radiation emitting devices regulated under the Radiation Emitting Devices Act by assessing a selection of these devices for compliance with the Act.

Sub-Program 2.6.3: Dosimetry Services

Description

The Dosimetry Services program monitors, collects information, and reports on the exposure to radiation of its clients, occupational radiation workers under the licence of the Canadian Nuclear Safety Commission's  Nuclear Safety and Control Act and/or provincial/territorial regulations.

Dosimetry is the act of measuring or estimating radiation doses and assigning those doses to individuals.

The National Dosimetry Services provides radiation monitoring services on a cost-recovery basis to Canadians exposed to ionising radiation in their places of work, and, the National Dose Registry provides a centralized radiation dose record system.

The program objective is to ensure that Canadians exposed to radiation in their places of work who are monitored by the Dosimetry Services program are informed of their radiation exposure levels.

Planning Highlights

In support of the expected results identified above, as part of this sub-program Health Canada will continue to undertake the following key initiatives in 2015-16:

• Analyze and report timely, accurate and reliable dose results to those who are being monitored by the National Dosimetry Services, their employees and the National Dose Registry.
• Operate the National Dose Registry to track occupational radiation exposure and report to regulatory authorities, workers, and other stakeholders.

Program 2.7: Pesticides

Description

The  Pest Control Products Act provides Health Canada with the authority to regulate and register pesticides, under the Pesticides program.

In the delivery of this program, Health Canada conducts activities that span the lifecycle of a pesticide, including: product assessment for health and environmental risks and product value; risk management; post market surveillance; compliance and enforcement; changes in use, cancellation, or phase out of products that do not meet current standards; and, consultations and public awareness building.

Health Canada is also an active partner in international efforts (e.g., North American Free Trade Agreement, Organization for Economic Cooperation and Development, Regulatory Cooperation Council) to align regulatory approaches. These engagements provide access to the best science available to support regulatory decisions and promote consistency in the assessment of pesticides.

The program objective is to protect the health and safety of Canadians and the environment relating to the use of pesticides.

Note: The decrease in planned spending and FTEs starting in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to funding of the Chemicals Management Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In addition to the expected results identified in the Program description, efforts under this program will contribute to meeting the Department's priorities, in particular Priority II, described in the section Organizational Priorities. The Department will also manage risks related to the design and reform of regulatory systems, providing relevant, effective and timely communications and engagements with stakeholders, clients and the public and managing information as described in the section Risk Analysis.

Health Canada will continue to implement the Pesticides Safety program in a transparent manner, as well as undertake the following key initiatives in 2015-16:

• Work with global partners and other international regulatory organizations to reduce regulatory burden and improve work in international science in support of the prevention of risks from the use of pest control products.
• Support more timely access to safe pesticides through effective processes for pre-market registrations, as well as post-market assessments, compliance and enforcement.
• Continue to implement the re-evaluation program in accordance with the Pest Control Products Act, including the integration of the Incident Review Post-Market Evaluation.
• Continue to engage stakeholders to ensure relevance and manage risk in order to sustain effective programming in an evolving environment.
• Review and update regulations, financial and business processes to align these with the requirements of the User Fees Act ^{Footnote xxix}  and the application of the new fee structure.
• Develop the business requirements for a modernized electronic system that supports the entire pesticide business environment, facilitates international collaboration, enables greater transparency and openness with stakeholders, and aligns with the Government of Canada's direction for Information Management/Information Technology (IM/IT).
• Continue the review and update the Pest Control Products Act and regulations, focusing on those that guide incident reporting and generic pesticides, and those that align its regulatory approaches with major Organization for Economic Co-operation and Development countries.
• Continue to implement a consistent and transparent Talent Management approach with strategies and plans that meet its current and future business needs in a timely, effective and efficient manner through the investments made by and in its workforce.

Strategic Outcome 3: First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status

Program 3.1: First Nations and Inuit Primary Health Care

Description

The  Department of Health Act and the Indian Health Policy (1979)^{Footnote xxx}  provide the authority for the delivery of the First Nations and Inuit Primary Health Care program to First Nations and Inuit in Canada. Primary health care includes health promotion and disease prevention, public health protection (including surveillance), and primary care (where individuals are provided diagnostic, curative, rehabilitative, supportive, palliative/end-of-life care, and referral services).

The Department administers contribution agreements and direct departmental spending related to child development, mental wellness and healthy living, communicable disease control and management, environmental health, clinical and client care, as well as home and community care.

The program objective is to improve the health and safety of First Nations and Inuit individuals, families, and communities.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Indian Residential Schools Resolution Health Support Program and First Nations Water and Wastewater Action Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority III, described in the section Organizational Priorities.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to improve service delivery models in remote and isolated First Nations communities to support modern, sustainable, high quality health care for First Nations communities.
• Advance the alignment and coordination of primary health care programs and services with provinces/territories, and other partners for the benefit of First Nations and Inuit.
• Promote and coordinate a social determinant of health planning approach and evidence-based initiatives with partners that will result in better health outcomes over the longer term, paying particular attention to women, children and youth.

Sub-Program 3.1.1: First Nations and Inuit Health Promotion and Disease Prevention

Description

The First Nations and Inuit Health Promotion and Disease Prevention program delivers health promotion and disease prevention services to First Nations and Inuit in Canada.

The program administers contribution agreements and direct departmental spending for culturally appropriate community-based programs, services, initiatives, and strategies. In the delivery of this program, the following three key areas are targeted: healthy child development; mental wellness; and healthy living.

The program objective is to address the healthy development of children and families, to improve mental wellness, and to reduce the impacts of chronic disease on First Nations and Inuit individuals, families, and communities.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Indian Residential Schools Resolution Health Support Program. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Facilitate the training and support the certification of community-based workers delivering health promotion and disease prevention services in First Nations communities.
• Finalize the Chronic Disease Prevention and Management Framework and invest in community health promotion and disease prevention programs that seek to reduce risk factors and support healthy living in First Nations and Inuit communities.
• Implement the First Nations Mental Wellness Continuum Framework and continue working with Inuit partners to develop a specific Inuit Mental Wellness Continuum Framework.
• Initiate the implementation of an oral health strategy and action plan which aims to improve access to oral health care for First Nations and Inuit that is culturally safe, accessible, and equitable.

Sub-Sub-Program 3.1.1.1: Healthy Child Development

Description

The Healthy Child Development program administers contribution agreements and direct departmental spending to support culturally appropriate community-based programs, services, initiatives, and strategies related to maternal, infant, child, and family health. The range of services includes prevention and health promotion, outreach and home visiting, and early childhood development programming.

Targeted areas in the delivery of this program include: prenatal health, nutrition, early literacy and learning, and physical and children's oral health.

The program objective is to address the greater risks and lower health outcomes associated with First Nations and Inuit infants, children, and families.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The decrease in planned spending in 2016-17 is mainly due to incremental funding transferred to Tripartite Health Governance and self-government agreements.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to work with First Nations and Inuit partners to support implementation of new Fetal Alcohol Spectrum Disorder Diagnostic Guidelines.
• Develop a comprehensive approach to healthy child development and improve the coordination of programming with Aboriginal Affairs and Northern Development Canada and Employment and Social Development Canada.
• Work with the Government of Nunavut and the PHAC to improve the oral health of children in Nunavut.

Sub-Sub-Program 3.1.1.2: Mental Wellness

Description

The Mental Wellness program administers contribution agreements and direct departmental spending that supports culturally-appropriate community-based programs, services, initiatives and strategies related to the mental wellness of First Nations and Inuit. The range of services includes prevention, early intervention, treatment, and aftercare.

Key services supporting program delivery include: substance abuse prevention and treatment (part of NADS), mental health promotion, suicide prevention, and health supports for participants of the Indian Residential Schools Settlement Agreement.

The program objective is to address the greater risks and lower health outcomes associated with the mental wellness of First Nations and Inuit individuals, families, and communities.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the Indian Residential Schools Resolution Health Support Program. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue the implementation of Honouring our Strengths Addictions Framework: A Renewed Framework to Address Substance Use Issues Among First Nations People in Canada^{Footnote xxxi}  including the development of tools to support uptake of a strengths-based systems approach to addressing substance use issues among First Nations people in Canada.
• Finalize and implement the 5-year Prescription Drug Abuse Plan to support First Nations and Inuit communities to deliver addiction prevention and treatment services.
• Continue to provide health support services so that eligible former Indian Residential School students and their families can safely address a broad spectrum of wellness issues related to the impacts of these Schools.
• Continue to support First Nations and Inuit communities in addressing Aboriginal youth suicide prevention.

Sub-Sub-Program 3.1.1.3: Healthy Living

Description

The Healthy Living program administers contribution agreements and direct departmental spending that supports culturally appropriate community-based programs, services, initiatives, and strategies related to chronic disease and injuries among First Nations and Inuit.

This program aims to promote healthy behaviours and supportive environments in the areas of healthy eating, physical activity, food security, chronic disease prevention, management and screening, and injury prevention policy.

Key activities supporting program delivery include: chronic disease prevention and management, injury prevention, the Nutrition North Canada - Nutrition Education Initiative, and the First Nations and Inuit component of the Federal Tobacco Control Strategy (being implemented in 2012-13).

The program objective is to address the greater risks and lower health outcomes associated with chronic diseases and injuries among First Nations and Inuit individuals, families, and communities.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The increase in planned spending in 2016-17 is mainly due to First Nations and Inuit Health Envelope growth.

The decrease in planned spending in 2017-18 is mainly due to incremental funding transferred to Tripartite Health Governance and self-government agreements.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Implement the First Nations and Inuit component of the Federal Tobacco Control Strategy by supporting the comprehensive First Nations and Inuit tobacco prevention and control projects, guided by the World Health Organization's Framework Convention on Tobacco Control^{Footnote xxiii} .
• Continue to support nutrition education initiatives in First Nations and Inuit communities to increase knowledge of healthy eating, develop skills in selecting and preparing healthy foods, and strengthen retail-community partnerships in remote and isolated communities.
• Train community-based workers on competency framework for the Aboriginal Diabetes Initiative^{Footnote xxxiii} .

Sub-Program 3.1.2: First Nations and Inuit Public Health Protection

Description

The First Nations and Inuit Public Health Protection program delivers public health protection services to First Nations and Inuit in Canada. In the delivery of this program, the key areas of focus are communicable disease control and management, and environmental public health.

The First Nations and Inuit Public Health Protection program administers contribution agreements and direct departmental spending to support initiatives related to communicable disease control and environmental public health service delivery including public health surveillance, research, and risk analysis. Communicable disease control and environmental public health services are targeted to on-reserve First Nations, with some support provided in specific instances, (e.g., to address tuberculosis), in Inuit communities south of the 60th parallel. Environmental public health research, surveillance, and risk analysis are directed to on-reserve First Nations, and in some cases, (e.g., climate change and health adaptation, and biomonitoring), also to Inuit and First Nations living north of the 60th parallel.

Surveillance data underpins these public health activities and all are conducted with the understanding that social determinants play a crucial role. To mitigate impacts from factors beyond the public health system, the program works with First Nations, Inuit, and other organizations.

The program objective is to address human health risks for First Nations and Inuit communities associated with communicable diseases and exposure to hazards within the natural and built environments by increasing community capacity to respond to these risks.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the First Nations Water and Wastewater Action Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to implement the First Nations Water and Wastewater Action Plan^{Footnote xxxiv} .
• Continue to work with Aboriginal Affairs and Northern Development Canada and First Nations to support the development and implementation of Regulations under the Safe Drinking Water for First Nations Act^{Footnote xxxv} , including the development of options and approaches for compliance and enforcement.
• Continue to work with federal and provincial partners to ensure that communicable disease preparedness plans and activities reflect the special needs and considerations of on-reserve First Nations.

Sub-Sub-Program 3.1.2.1: Communicable Disease Control and Management

Description

The Communicable Disease Control and Management program administers contribution agreements and direct departmental spending to support initiatives related to vaccine preventable diseases, blood borne diseases and sexually transmitted infections, respiratory infections, and communicable disease emergencies. In collaboration with other jurisdictions communicable disease control and management activities are targeted to on-reserve First Nations, with support provided to specific instances (such as to address tuberculosis), in Inuit communities south of the 60th parallel. Communicable Disease Control and Management activities are founded on public health surveillance and evidence-based approaches and reflective of the fact that all provincial and territorial governments have public health legislation.

Key activities supporting program delivery include: prevention, treatment and control of cases and outbreaks of communicable diseases; and, public education and awareness to encourage healthy practices.

A number of these activities are closely linked with those undertaken in the Environmental Health program (3.1.2.2), as they relate to waterborne, foodborne and zoonotic infectious diseases.

The program objective is to reduce the incidence, spread, and human health effects of communicable diseases for First Nations and Inuit communities.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The increase in planned spending is due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to support public health measures to prevent and control cases and outbreaks of communicable disease on-reserve, such as Influenza and Ebola, by promoting public education and awareness to encourage healthy practices, strengthening community capacity, and undertaking monitoring, surveillance and reporting of communicable disease.
• Complete the Sexually Transmitted and Blood-Borne Infection (STBBI) Framework which aims to facilitate the function of STBBI programming for First Nations on-reserve with particular attention to HIV/AIDS and Hepatitis C.
• Continue to implement Health Canada's Strategy Against Tuberculosis for First Nations On-Reserve^{Footnote xxxvi}  and promote knowledge of Tuberculosis among First Nations and Inuit in order to improve prevention and treatment.

Sub-Sub-Program 3.1.2.2: Environmental Public Health

Description

The Environmental Public Health program administers contribution agreements and direct departmental spending for environmental public health service delivery. Environmental public health services are directed to First Nations communities south of the 60th parallel and address areas such as: drinking water; wastewater; solid waste disposal; food safety; health and housing; facilities inspections; environmental public health aspects of emergency preparedness response; and, communicable disease control. Environmental public health surveillance and risk analysis programming is directed to First Nations communities south of the 60th parallel, and in some cases, also to Inuit and First Nations north of the 60th parallel. It includes community-based and participatory research on trends and impacts of environmental factors such as chemical contaminants and climate change on the determinants of health (e.g., biophysical, social, cultural, and spiritual).

Key activities supporting program delivery include: public health; surveillance, monitoring and assessments; public education; training; and, community capacity building.

The program objective is to identify, address, and/or prevent human health risks to First Nations and Inuit communities associated with exposure to hazards within the natural and built environments.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities relating to the First Nations Water and Wastewater Action Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue monitoring the quality of drinking water in First Nations communities' in line with the Guidelines for Canadian Drinking Water Quality.
• Continue to undertake environmental health inspections of publicly accessible buildings and at special events, to identify health and safety risks and recommend corrective action.

Sub-Program 3.1.3: First Nations and Inuit Primary Care

Description

The First Nations and Inuit Primary Care program administers contribution agreements and direct departmental spending. These funds are used to support the staffing and operation of nursing stations on-reserve, dental therapy services and home and community care programs in First Nation and Inuit communities, and on-reserve hospitals in Manitoba, where services are not provided by provincial/territorial health systems. Care is delivered by a collaborative health care team, predominantly nurse-led, providing integrated and accessible health care services that include: assessment; diagnostic; curative; case-management; rehabilitative; supportive; respite; and, palliative/end-of-life care.

Key activities supporting program delivery include Clinical and Client Care in addition to Home and Community Care.

The program objective is to provide primary care services to First Nations and Inuit communities.

Note: The increase in planned spending is due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to implement the Nursing Recruitment and Retention Strategy^{Footnote xxxvii} , which is aimed at decreasing the vacancy rate of nurses and increasing the interdisciplinary staff complement in primary care settings.
• Advance collaborative efforts with First Nations and Inuit partners, provinces and territories, and other federal government departments to improve the delivery of primary care services.
• Continue implementation of the five-year Primary Care Reform.

Sub-Sub-Program 3.1.3.1: Clinical and Client Care

Description

The Clinical and Client Care program is delivered by a collaborative health care team, predominantly nurse-led, providing integrated and accessible health and oral health care services that include assessment, diagnostic, curative, and rehabilitative services for urgent and non-urgent care.

Key services supporting program delivery include: triage, emergency resuscitation and stabilization, emergency ambulatory care, and out-patient non-urgent services; coordinated and integrated care and referral to appropriate provincial secondary and tertiary levels of care outside the community; and, in some communities, physician visits and hospital in-patient, ambulatory, and emergency services.

The program objective is to provide clinical and client care services to First Nations individuals, families, and communities.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The increase in planned spending is mainly due to First Nations and Inuit Health Envelope growth and changes in funding levels to support First Nations and Inuit Health Programs and Services.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Work with provinces and Regional Health Authorities to increase local access to physicians for First Nations and Inuit living in remote and isolated communities.
• Continue the modernization of clinical practice guidelines to support remote nursing services by maintaining and improving access to the most recent clinical best practices.
• Initiate accreditation of nursing stations to maintain a standardized level of quality in health planning, management and delivery of health services.

Sub-Sub-Program 3.1.3.2: Home and Community Care

Description

The Home and Community Care program administers contribution agreements with First Nation and Inuit communities and territorial governments to enable First Nations and Inuit individuals with disabilities, chronic or acute illnesses, and the elderly to receive the care they need in their homes and communities. Care is delivered primarily by home care registered nurses and trained certified personal care workers.

In the delivery of this program First Nations and Inuit Health Branch provides funding through contribution agreements and direct departmental spending for a continuum of basic essential services such as: client assessment and case management; home care nursing, personal care and home support as well as in-home respite; and, linkages and referral, as needed, to other health and social services. Based on community needs and priorities, existing infrastructure, and availability of resources, the Home and Community Care program may be expanded to include supportive services. These services may include: rehabilitation and other therapies; adult day programs; meal programs; in-home mental health; in-home palliative care; and, specialized health promotion, wellness, and fitness services.

The program objective is to provide home and community care services to First Nations and Inuit individuals, families, and communities.

This program uses funding from the following transfer payment: First Nations and Inuit Primary Health Care.

Note: The decrease in planned spending in 2016-17 is mainly due to incremental funding transferred to Tripartite Health Governance and self-government agreements.

The increase in planned spending in 2017-18 is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Develop a strategy that supports the integration and coordination of home care and assisted living services provided by Health Canada and Aboriginal Affairs and Northern Development Canada.
• Enhance community and home care services by collaborating with First Nations communities to explore the deployment of a data collection application consistent with provincial systems, which would improve alignment and coordination of services with provinces.
• Explore options and develop protocols to address children with complex care needs.

Program 3.2: Supplementary Health Benefits for First Nations and Inuit

Description

Under the Supplementary Health Benefits for First Nations and Inuit program, the Non-Insured Health Benefits (NIHB) Program provides registered First Nations and recognized Inuit residents in Canada with a specified range of medically necessary health-related goods and services, which are not otherwise provided to eligible clients through other private or provincial/territorial programs. NIHB include: pharmaceuticals; medical supplies and equipment; dental care; vision care; short term crisis intervention mental health counselling; and, medical transportation to access medically required health services not available on-reserve or in the community of residence. The NIHB Program also pays health premiums on behalf of eligible clients in British Columbia (BC) (as of July 2013, NIHB will no longer pay premiums for First Nations residents of BC, who will become clients of the First Nations Health Authority (FNHA) in accordance with the BC Tripartite Health Agreement and sub-agreements).

Benefits are delivered through registered, private sector health benefits providers (e.g., pharmacists and dentists) and funded through NIHB's electronic claims processing system or through regional offices. Some benefits are also delivered via contribution agreements with First Nations and Inuit organizations and the territorial governments in Nunavut and Northwest Territories.

The program objective is to provide non-insured health benefits to First Nations and Inuit people in a manner that contributes to improvements in their health status to be comparable to that of the Canadian population.

This program uses funding from the following transfer payment: First Nations and Inuit Supplementary Health Benefits.

Note: In Budget 2013, the Government committed to stable funding and growth for Supplementary Health Benefits for First Nations and Inuit. The total amount is confirmed annually based on the prior year's spending reported in the Public Accounts of Canada plus a growth factor. Therefore, the 2016-17 and 2017-18 Planned Spending amounts will be adjusted and confirmed through a future Estimates process.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority III, described in the section Organizational Priorities.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Monitor and undertake surveillance of prescription drug use and prescribing patterns, placing restrictions on opioids and other drugs of concern, and measure the impact of interventions.
• Continue to engage First Nations and Inuit partners, through existing Joint Review processes with the Assembly of First Nations and Inuit Tapiriit Kanatami, to identify and advance shared priorities.
• Work with expert advisors, stakeholders and other key players to identify further improvements to the NIHB Program.

Program 3.3: Health Infrastructure Support for First Nations and Inuit

Description

The  Department of Health Act and the Indian Health Policy (1979) provide the authority for the Health Infrastructure Support for First Nations and Inuit program to administer contribution agreements and direct departmental spending to support the delivery of health programs and services.

The program promotes First Nation and Inuit capacity to design, manage, deliver, and evaluate health programs and services. To better meet the unique health needs of First Nations and Inuit individuals, families, and communities this program also supports: innovation in health program and service delivery; health governance partnerships between Health Canada, the provinces, and First Nation and provincial health services; and, improved integration of First Nation and provincial health services.

The program objective is to help improve the health status of First Nations and Inuit people, to become comparable to that of the Canadian population over the long-term.

Note: The increase in planned spending is mainly due to increases in funding for Tripartite Health Governance.

Planning Highlights

In addition to the expected results identified above, efforts under this program will contribute to meeting the Department's priorities, in particular Priority III, described in the section Organizational Priorities.

As part of this program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to work closely with Aboriginal Affairs and Northern Development Canada to simplify, standardize and harmonize policies, procedures and the management of transfer payments, where possible, and examine these processes with First Nations.
• Work on common risk management approaches and reporting requirements to develop and implement a single federal standardized financial reporting protocol.
• Continue to support and track progress on the five strategic directions of the Public Health Strategic Framework for First Nations, including system organization, workforce, information, social determinants of health and system transformation.

Sub-Program 3.3.1: First Nations and Inuit Health System Capacity

Description

The First Nations and Inuit Health System Capacity program administers contribution agreements and direct departmental spending focussing on the overall management and implementation of health programs and services.

This program supports the promotion of First Nations and Inuit participation in: health careers including education bursaries and scholarships; the development of, and access to health research; information and knowledge to inform all aspects of health programs and services; and, the construction and maintenance of health facilities. This program also supports efforts to develop new health governance structures with increased First Nations participation.

Program engagement includes a diverse group of partners, stakeholders, and clients including: First Nations and Inuit communities, district and tribal councils; national Aboriginal organizations and non-governmental organizations; health organizations; provincial and regional health departments and authorities; post-secondary educational institutions and associations; and, health professionals and program administrators.

The program objective is to improve the delivery of health programs and services to First Nations and Inuit by enhancing First Nations and Inuit capacity to plan and manage their programs and infrastructure.

Note: The increase in planned spending is mainly due to the First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Collaborate with other federal departments that work with First Nations to have a common integrated approach to community development that will benefit First Nations.
• Advance a surveillance and information framework that is aligned with First Nations, Inuit, and provincial/territorial surveillance strategies and relevant at the community and regional-levels.
• Strengthen access, quality and safety of health services across the continuum of care for individuals, families and communities by continuing to develop program and service delivery standards.

Sub-Sub-Program 3.3.1.1: Health Planning and Quality Management

Description

The Health Planning and Quality Management program administers contribution agreements and direct departmental spending to support capacity development for First Nations and Inuit communities.

Key services supporting program delivery include: the development and delivery of health programs and services through program planning and management; on-going health system improvement via accreditation; the evaluation of health programs; and, support for community development activities.

The program objective is to increase the capacity of First Nations and Inuit to design, manage, evaluate, and deliver health programs and services.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The increase in planned spending is mainly due to the First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue the accreditation of community health services in keeping with nationally and internationally recognized processes to ensure a standardized level of quality in health planning, management and delivery of health services.
• Leverage the newly established regional multi-stakeholder advisory committees to advise on matters of regional and community planning and priority setting.
• Work with Inuit, territorial and provincial governments, and other federal partners to develop a more collaborative, comprehensive and strategic approach to Inuit health that informs planning within Health Canada.

Sub-Sub-Program 3.3.1.2: Health Human Resources

Description

The Health Human Resources program administers contribution agreements and direct departmental spending to promote and support competent health services at the community level by increasing the number of First Nations and Inuit individuals entering into and working in health careers and ensuring that community-based workers have skills and certification comparable to workers in the provincial/territorial health care system. This program engages many stakeholders, including: federal, provincial and territorial governments and health professional organizations; national Aboriginal organizations; non-governmental organizations and associations; and, educational institutions.

Key activities supporting program delivery include: health education bursaries and scholarships; health career promotion activities; internship and summer student work opportunities; knowledge translation activities; training for community based health care workers and health managers; and, development and implementation of health human resources planning for Aboriginal, federal, provincial, territorial, health professional associations, educational institutions, and other stakeholders.

The program objective is to increase the number of qualified First Nations and Inuit individuals working in health care delivery.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The increase in planned spending is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to support the training and education of Aboriginal students pursuing health professions.
• Support capacity development for First Nations' health managers and community health workers, by leveraging the Aboriginal Health Human Resources Initiative^{Footnote xxxviii} .

Sub-Sub-Program 3.3.1.3: Health Facilities

Description

The Health Facilities program administers contribution agreements and direct departmental spending that provide communities and/or health care providers with the facilities required to safely and efficiently deliver health programs and services. Direct departmental spending addresses the working conditions of Health Canada staff engaged in the direct delivery of health programs and services to First Nations and Inuit.

Key activities supporting program delivery include: investment in infrastructure that can include the construction, acquisition, leasing, operation, maintenance, expansion and/or renovation of health facilities and security services; preventative and corrective measures relating to infrastructure; and, improving the working conditions for Health Canada staff so as to maintain or restore compliance with building codes, environmental legislation, and occupational health and safety standards.

The program objective is to support the development and delivery of health programs and services through investments in infrastructure.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The increase in planned spending is mainly due to First Nations and Inuit Health Envelope growth.

Planning Highlights

As part of this sub-sub-program, Health Canada will undertake the following key initiative in 2015-16:

• Collaborate with Aboriginal Affairs and Northern Development Canada on an integrated approach to facilities building and management.

Sub-Program 3.3.2: First Nations and Inuit Health System Transformation

Description

The First Nations and Inuit Health System Transformation program integrates, coordinates, and develops innovative publicly funded health systems serving First Nations and Inuit individuals, families, and communities through the administration of contribution agreements and direct departmental spending.

This program includes the development of innovative approaches to primary health care, sustainable investment in appropriate technologies that enhance health service delivery, and support for the development of new governance structures and initiatives to increase First Nations and Inuit participation in, and control over, the design and delivery of health programs and services in their communities.

Through this program, Health Canada engages and works with a diverse group of partners, stakeholders, and clients including: First Nations and Inuit communities, tribal councils, Aboriginal organizations, provincial and regional health departments and authorities, post-secondary educational institutions and associations, health professionals and program administrators.

The program objective is that First Nations and Inuit health systems are more effective and efficient.

Note: The decrease in planned spending is mainly due to incremental funding transferred to Tripartite Health Governance and self-government agreements.

Planning Highlights

As part of this sub-program, Health Canada will undertake the following key initiative in 2015-16:

• Continue to work with the province of Saskatchewan, the Federation of Saskatchewan Indian Nations, communities and important partners to support the implementation of the Saskatchewan First Nations Health and Wellness Plan^{Footnote xxxix} .

Sub-Sub-Program 3.3.2.1: Systems Integration

Description

The Systems Integration program administers contribution agreements and direct departmental spending to better integrate health programs and services funded by the federal government with those funded by provincial/territorial governments.

This program supports the efforts of partners in health services, including: First Nations and Inuit, tribal councils, regional/district health authorities, regions, national Aboriginal organizations, and provincial/territorial organizations to integrate health systems, services, and programs so they are more coordinated and better suited to the needs of First Nations and Inuit. This program also promotes and encourages emerging tripartite agreements.

Two key activities supporting program delivery include: development of multi-party structures to jointly identify integration priorities and plans for further integrating health services in a given province/territory; and, implementation of multi-year, large-scale health service integration projects consistent with agreed-upon priorities (i.e., a province-wide public health framework or integrated mental health services planning and delivery on a regional scale).

The program objective is a health system that is efficient and integrated resulting in increased access to care and improved health outcomes for First Nations and Inuit individuals, families, and communities.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The decrease in planned spending in 2016-17 is due to incremental funding transferred to the Canada School of Public Service to support enterprise-wide approach learning.

Planning Highlights

As part of this Sub-Sub-Program, Health Canada will undertake the following key initiatives in 2015-16:

• Explore possible North of 60° approaches with First Nations, Inuit and territorial governments, where there is a shared interest to improve service delivery and address population health challenges.
• Clarify and fulfill Health Canada's role in relation to First Nations and Inuit that have successfully concluded self-government or land claim agreements in order to enhance capacity for health programs.
• Support the evaluation of the First Nations and Inuit Health Services Integration Fund.

Sub-Sub-Program 3.3.2.2: e-Health Infostructure

Description

The eHealth Infostructure program administers contribution agreements and direct departmental spending to support and sustain the use and adoption of appropriate health technologies that enable front line care providers to better deliver health services in First Nations and Inuit communities through eHealth partnerships, technologies, tools, and services. Direct departmental spending also supports national projects that examine innovative information systems and communications technologies and that have potential national implications.

Key activities supporting program delivery include: public health surveillance; health services delivery (primary and community care included); health reporting, planning and decision making; and, integration/compatibility with other health service delivery partners.

The program objective is to improve the efficiency of health care delivery to First Nations and Inuit individuals, families, and communities through the use of eHealth technologies for the purpose of defining, collecting, communicating, managing, disseminating, and using data.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The decrease in planned spending is mainly due to incremental funding transferred to Tripartite Health Governance and self-government agreements.

Planning Highlights

As part of this Sub-Sub-Program, Health Canada will undertake the following key initiatives in 2015-16:

• Continue to collaboratively fund and advance the deployment and use of interoperable emerging technologies in clinical and public health services and management, including implementing eHealth tools, such as electronic health records, integrated client medical records and the deployment of Panorama, a public health surveillance system.
• Expand telehealth sites to support existing health centers with electronic medical records sites and continue to pilot electronic medical records rollout in operative nursing stations.
• Work with First Nations and Inuit to identify opportunities to invest in data and infrastructure that are interoperable with provincial systems, including increasing support for data collection and analysis to better inform decision-making and priorities.

Sub-Program 3.3.3: Tripartite Health Governance

Description

FNIHB's longer-term policy approach aims to achieve closer integration of federal and provincial health programming provided to First Nations, as well as to improve access to health programming, reduce instances of service overlap and duplication, and increase efficiency where possible.

The BC Tripartite Initiative consists of an arrangement among the Government of Canada, the Government of BC, and BC First Nations. Since 2006, the parties have negotiated and implemented a series of tripartite agreements to facilitate the implementation of health projects, as well as the development of a new First Nations health governance structure. In 2011, the federal and provincial Ministers of Health and BC First Nations signed the legally-binding BC Tripartite Framework Agreement on First Nation Health Governance.

This BC Tripartite Framework Agreement commits to the creation of a new province-wide FNHA to assume the responsibility for design, management, and delivery/funding of First Nations health programming in BC. The FNHA will be controlled by First Nations and will work with the province to coordinate health programming. It may design or redesign health programs according to its health plans. Health Canada will remain a funder and governance partner but will no longer have any role in program design/delivery.

Funding under this program is limited to the FNHA for the implementation of the BC Tripartite Framework Agreement.

The program objective is to enable the newly formed FNHA to develop and deliver quality health services that feature closer collaboration and integration with provincial health services.

This program uses funding from the following transfer payment: First Nations and Inuit Health Infrastructure Support.

Note: The increase in planned spending is mainly due to the escalator for Tripartite Health Governance.

Planning Highlights

As part of this Sub-Program, Health Canada will undertake the following key initiative in 2015-16:

• Continue to support the implementation of the BC Tripartite Framework Agreement on First Nation Health Governance.

Internal Services

Description

Internal Services are groups of related activities and resources that are administered to support the needs of programs and other corporate obligations of an organization. Internal services include only those activities and resources that apply across an organization, and not those provided to a specific program. The groups of activities are Management and Oversight Services; Communications Services; Legal Services; Human Resources Management Services; Financial Management Services; Information Management Services; Information Technology Services; Real Property Services; Materiel Services; and Acquisition Services.

Note: The decrease in planned spending and FTEs in 2016-17 is mainly due to the sunsetting of time-limited spending authorities such as: Chemicals Management Plan, Clean Air Regulatory Agenda, Indian Residential Schools Resolution Health Support Program and First Nations Water and Wastewater Action Plan. The figures cited in this report do not reflect any decisions that the government may make to renew programs and invest new funds through Parliament. Therefore, total resources that will be available for certain programs may be higher than currently reported. The Government of Canada reassesses priorities, as required, and programs that are set to sunset will be considered for renewal and may in fact be renewed.

Planning Highlights

In the delivery of Internal Services, Health Canada participates in a Shared Services Partnership (SSP) with the PHAC. Each organization retains responsibility for different Internal Services, while working to deliver equitable services to both organizations.

As part of the SSP, Health Canada has direct responsibility over: Human Resources; Real Property and Security; Privacy and Access to Information; Information Management and Information Technology; Communications and Public Affairs; Legal Services, and Materiel Management and Accounting Operations. Services that fall under PHAC's purview include: Evaluation; International Affairs; Emergency Preparedness and Response; and Audit and Accountability. These are reported in PHAC's 2015-16 RPP.

In addition to the services provided through the SSP, Health Canada has its own Management and Oversight Services and Financial Management Services.

The following points provide key Internal Services planning highlights for Health Canada in 2015-16:

Human Resources

• Support the development of a workforce that meets present and future needs through sound performance and talent management practices.

Information Management and Information Technology

• Implement government-wide modernization and transformation initiatives to support departmental business and programs, which includes:
  • Continue to move towards a common email platform.
  • Work with Shared Services Canada to migrate applications from legacy data centres to new enterprise data centers, which will include significant technology upgrades and/or retirement of applications.
  • Participate in a multi-departmental initiative (led by the Canada Border Services Agency) to implement a single window through which importers can electronically submit information necessary to comply with government import regulations.

Communications

• Facilitate the open and transparent access and exchange of information on Health Canada and PHAC programs, policies and regulations.
• Develop innovative communications products, services and channels.
• Implement the Government of Canada's Web Renewal Action Plan, which includes alignment and consolidation of internet content and external web applications to Canada.ca templates.
• Enhance risk and emergency communications.
• Provide integrated and strategic communications advice, strategies and services to our internal clients.

Management and Oversight Services

• Provide a dedicated, high-value resource management, internal control, and corporate planning and reporting and performance management capability for Health Canada.
• Maintain compliance with the Treasury Board of Canada Policy on Internal Control, including the on-going risk-based monitoring strategy for internal controls over financial reporting.
• Support increased integration of financial and non-financial performance data to better support decision making.

Financial Management Services

• Renew the Investment Plan in 2015-16, focusing on IM/IT, real property, and security investments in support of enhancing the quality and efficiency of program delivery.
• Modernize financial management practices and systems to meet emerging Central Agency and departmental needs.

Section III: Supplementary Information

Future-Oriented Statement of Operations

The future-oriented condensed statement of operations provides a general overview of the Health Canada's operations. The forecast of financial information on expenses and revenues is prepared on an accrual accounting basis to strengthen accountability and to improve transparency and financial management.

Because the future-oriented condensed statement of operations is prepared on an accrual accounting basis, and the forecast and planned spending amounts presented in other sections of the Report on Plans and Priorities are prepared on an expenditure basis, amounts differ.

A more detailed future-oriented statement of operations and associated notes, including a reconciliation of the net cost of operations to the requested authorities, can be found on Health Canada's website^{Footnote xl} .

Health Canada is projecting $4,021.5 million in expenses based on 2015-16 Main Estimates and accrued information. This amount does not include future supplementary estimates. It represents a decrease of $98.5 million from 2014-15 projections.

This decrease is primarily attributable to:

• Operating and capital budget carry forwards calculated on 2013-14 operating results are included in the 2014-15 estimates but are not included in ongoing authorities.
• Expiration of certain time-limited spending authorities for which renewals may be sought through the supplementary estimates process, since the Government of Canada reassesses these priorities as required.

These decreases are partially offset by increases for:

• Non-insured Health Benefits components of the Stabilization of the First Nations and Inuit Health programming funding.
• Annual 3% growth in the First Nations and Inuit Health Envelope.
• Implementation of the BC Tripartite Framework Agreement on First Nation Health Governance for the transfer of the responsibility for First Nations health programming in BC to the FNHA.

The 2015-16 planned expenses by Strategic Outcome are as follows:

• A health system responsive to the needs of Canadians $342.5 million.
• Health risks and benefits associated with food, products, substances and environmental factors are appropriately managed and communicated to Canadians $674.5 million.
• First Nations and Inuit communities and individuals receive health services and benefits that are responsive to their needs so as to improve their health status $2,706.2 million.
• Internal services $301.2 million.

Health Canada receives most of its funding through annual Parliamentary appropriations. Health Canada's revenue is generated by program activities that support the above-noted Strategic Outcomes. Health Canada projects total revenues in 2015-16 to be $329.7 million, representing a modest increase of $8.3 million over 2014-15 projections.

Main sources of revenues by type are as follows:

• Services of a regulatory nature $58.5 million.
• Rights and privileges $64.7 million.
• Services of a non-regulatory nature $217.1 million.

Supplementary Information Tables

Please visit the supplementary information tables^{Footnote xli}  listed in the 2015-16 Report on Plans and Priorities.

• Departmental Sustainable Development Strategy;
• Details on Transfer Payment Programs of $5 Million or More;
• Disclosure of Transfer Payment Programs Under $5 Million;
• Horizontal Initiatives;
• Upcoming Internal Audits and Evaluations Over the Next Three Fiscal Years; and
• Up-Front Multi-Year Funding.

Tax Expenditures and Evaluations

The tax system can be used to achieve public policy objectives through the application of special measures such as low tax rates, exemptions, deductions, deferrals and credits. The Department of Finance Canada publishes cost estimates and projections for these measures annually in the  Tax Expenditures and Evaluations^{Footnote xlii}  publication. The tax measures presented in the Tax Expenditures and Evaluations publication are the responsibility of the Minister of Finance.

Section IV: Organizational Contact Information

Marc Desjardins
Director General
Health Canada
Director General'S Office
200 Eglantine Driveway, Tunney's Pasture
Ottawa, Ontario K1A 0K9
Canada
Telephone: 613-948-6357
Fax: 613-946-0807
marc.desjardins@hc-sc.gc.ca

Appendix: Definitions

Appropriation:

Budgetary expenditures:

Departmental Performance Report:

Full-time equivalent:

Government of Canada outcomes:

Management, Resources and Results Structure:

Non-budgetary expenditures:

Performance:

Performance indicator:

Performance reporting:

Planned spending:

Plans:

Priorities:

Program:

Program Alignment Architecture:

Report on Plans and Priorities:

Results:

Strategic Outcome:

Sunset program:

Target:

Whole-of-government framework:

Endnotes