2021-2022 Raison d'être, mandate and role: who we are and what we do - Health Canada

Raison d'être

Health Canada regulates specific products and controlled substances and supports innovation and information sharing in Canada's health system to help Canadians maintain and improve their health.

Mandate and role

At Health Canada, our role is to help Canadians maintain and improve their health. While the provinces and territories are responsible for delivering health care to the majority of Canadians, the federal government also has a number of key roles and responsibilities in areas that affect health and health care. In addition to working closely with provincial and territorial governments, we also work with partners in the Health Portfolio (Public Health Agency of Canada, Canada Food Inspection Agency, and Canadian Institutes of Health Research), other federal departments and agencies, non-governmental organizations, other countries, Indigenous partners and the private sector.

As a partner in health, Health Canada:

The meals we serve our families, the pesticides farmers put on crops, the herbal remedies, vitamins and drugs in our medicine cabinets, the toys we buy our children - they are all products regulated by Health Canada for safety. Hundreds of new products, with new ingredients and new purposes, are introduced by industry every year in Canada. Health Canada's decisions are made with the best interest of Canadians in mind, whether to approve the safety and quality of new products or to provide advice after they are on the market. Our actions are supported by scientific evidence.

Our Department is committed to upholding the Canada Health Act and protecting our publicly funded health care system, which helps to ensure Canadians have access to quality, universal health care based strictly on their medical needs, not their ability and willingness to pay. We also promote innovation and the use of best practices across Canada.

Health Canada's vision is to help make Canada's population among the healthiest in the world. From coast to coast to coast, Health Canada employees - scientists and researchers, inspectors, doctors and nurses, policy analysts and administrative professionals, and many others - are working to help Canadians maintain and improve their health.

As a regulator, service provider, promoter of innovation, and trusted source of information, we are a partner in health for all Canadians.

For more information on the Department's organizational mandate letter commitments, see the Ministers' mandate letters.

Operating Context

Health Canada operates in a complex and dynamic environment, facing several challenges as it works to deliver results for Canadians. Many of these challenges – such as the COVID-19 pandemic and the overdose crisis – are beyond the sole control of the Department and involve working collaboratively with federal, provinces and territories partners (F/P/Ts), Indigenous organizations, industry and international regulators.

Responding to the COVID-19 pandemic

The emergence of COVID-19 variants continued to challenge Canadians and health systems across the country. The pandemic continued to negatively affect the mental health of many Canadians; disproportionally impacted those living in long-term care homes; worsened the overdose crisis; increased the demand for key drugs used to treat COVID-19, and intensified the demand for surge capacity for front line workers and scientific experts.

Health Canada leveraged its resources to minimize the impacts of COVID-19 on Canadians' health and safety. Procuring and distributing rapid antigen tests, authorizing COVID-19 vaccines, including boosters, supporting P/Ts through targeted investments in mental health, virtual care, and long-term care, and creating a stockpile of critical drugs to support critically ill COVID patients remained key priorities for the Department.

Strengthening the health care system

Canada's health system is experiencing an unprecedented Health Human Resource crisis. High patient workloads, challenging work conditions, and concerns for personal safety have led to high levels of burnout, absences, and turnover. Canadians are feeling the impacts as emergency rooms are overwhelmed, and in some cases closing temporarily; many Canadians still lack a primary care provider; and wait times continue to increase across the health system.

Health Canada worked with provinces and territories (P/Ts) to increase the Health Human Resource workforce, collect better data to enable workforce planning and find innovative approaches to enhance the efficiency of the workforce and the health care system. The Department reinstated the Chief Nursing Officer to provide federal leadership on nursing issues going forward.

Addressing the overdose epidemic

The COVID-19 pandemic especially affected populations at higher risk. It created new barriers and challenges for those already experiencing mental illness and substance use issues. Addressing these challenges required a collaborative approach between all orders of government and other partners. For example, the Department implemented a number of regulatory flexibilities to support Canadians, stakeholders and industry during the pandemic (e.g., facilitated access to treatment services for substance use, and facilitated the rapid establishment of overdose prevention sites).

Guided by the federal Canadian Drugs and Substances Strategy, Health Canada developed a public health-focused approach to the overdose crisis. The Department supported community-led initiatives, such as: facilitating access to mental health and addiction support services, providing regulatory approval for supervised injection sites and facilitating access to safer supply services, and strengthening overdose prevention efforts, including increased access to naloxone kits.

Building an agile and inclusive workforce

Health Canada employees began gradually re-entering the workplace while respecting public health guidelines and safety measures. This provided an opportunity to explore both the longer-term future of work and organizational resiliency in the context of lessons learned from the COVID-19 pandemic. IT systems and tools were re-configured to support employees both working at home and in the office and comprehensive strategies to protect public servants' mental health and wellness were maintained.

The Department's values – fostering a diverse and inclusive workplace that is free of racism and discrimination and where all employees are treated with respect, dignity and fairness – formed the foundation of who we are, what we do, and how we do our work.

Regulating in the context of a global supply chain

The increased pace of scientific and technological innovation, globalization, and the complexity of the global supply chain were key challenges for regulators. Effectively regulating new, innovative and complex products, substances, food and emerging product categories in a global marketplace required a global approach. As such, the Department focused on building and strengthening relationships with domestic and international partners to leverage cooperation and best practices, and accelerate regulatory reviews.

Providing timely, trusted and evidence-based information

The Department continued to provide high quality, scientific and evidence-based health information through a range of online and traditional communication tools and channels. This was critical to helping Canadians make informed health decisions, especially when there was an increasing amount of information available to the general public of varying levels of scientific quality and accuracy.

Further, Canadians expected their Government to be open and transparent and effectively engage them in decision-making. Clarity on direction and sharing timely information with stakeholders and the public helped ensure that the Department was viewed as a trusted source of information.

Canadians also expected that their privacy be protected while accessing government sources and platforms. Health Canada adhered to privacy provisions and ensured that Canadians' personal information was secured.

Key Risks

Health Canada has a well-established risk management process that enables the Department to respond proactively to change and uncertainty by understanding and monitoring its operating environment and the factors that drive risks.

Key Risk for Core Responsibility 1: Health Care Systems

Risk 1: Health Canada's ability to achieve its mandate may be at risk due to challenges posed by major health events (such as the COVID-19 pandemic).
Risk Responses Link to the Department's Core Responsibilities Link to Mandate Letter Commitments or Government-Wide Priorities
Fostered engagement and collaboration Core Responsibility 1:
Health Care Systems
Mandate Letter Commitment:
Continue to work in close collaboration with P/Ts, municipalities, Indigenous communities and other partners to increase COVID-19 testing and tracking; support the availability of rapid tests and self-tests; and expand the new federal Testing Assistance Response Team to meet surge capacity needs, including in remote and isolated communities.
Government-Wide Priority:
Keeping Canadians Safe and Healthy
Facilitated access to health products Core Responsibility 2:
Health Protection and Promotion
Government-Wide Priority:
As above
Provided timely, trusted and evidence-based information Core Responsibility 2:
Health Protection and Promotion
Internal Services
Mandate Letter Commitment:
Support openness, effectiveness and transparency in government. Improve digital capacity and services for Canadians.
Government-Wide Priority:
As above
Enhanced internal services Internal Services Mandate Letter Commitment:
Ensure a safe, respectful, rewarding and welcoming place of work.
Government-Wide Priority:
Commit to implementing Government plans aimed at protecting and supporting Canadians through challenging times.

Delivering on its mandate to ensure Canadians stay safe and healthy during a pandemic

Health Canada used every tool available, leveraged resources and collaborated with F/P/T partners to protect the health of Canadians. The Department sustained a high-level of activity to respond to and mitigate risks associated with the pandemic while continuing to deliver on its mandate in 2021-22.

Key examples of Health Canada's risk responses:

Fostered engagement and collaboration

Facilitated access to health products

Established and maintained innovative and agile measures, including prioritizing and expediting the regulatory review of COVID-related products without compromising standards for safety, efficacy and quality. For example:

Provided timely, trusted and evidence-based information

Enhanced internal services

Risk 2: Health Canada's ability to effectively uphold the Canada Health Act (CHA) could be put at risk by challenges in administering the Act.
Risk Responses Link to the Department's Core Responsibilities Link to Mandate Letter Commitments or Government-Wide Priorities
Implemented new policies Core Responsibility 1:
Health Care Systems
Mandate letter commitment:
Continue to ensure compliance with the CHA on matters of private delivery and extra billing.
Government priority:
Keeping Canadians Safe and Healthy
Worked to resolve issues with P/Ts As above Mandate letter commitment:
Continue to ensure compliance with the CHA on matters of private delivery and extra billing
Government priority:
Keeping Canadians Safe and Healthy
Monitored litigation As above As above
Monitored changes in health care delivery As above Mandate letter commitment:
Work with P/Ts to ensure that all Canadians have access to appropriate a primary health care team and expand virtual health care, critical health and mental health resources and services.
Government priority:
As above

Uphold the Canada Health Act

Health Canada upholds the Canada Health Act (CHA) in an ever-changing environment. The Department's proactive responses have mitigated the risks associated with the CHA during the 2021-22 fiscal year.

Key examples of Health Canada's risk responses:

Implemented new policies

Worked to resolve issues with P/Ts

Monitored litigation

Monitored changes in health care delivery

Key Risks for Core Responsibility 2: Health Protection and Promotion

Risk 3: Canadians may lose confidence in Health Canada's ability to help protect their health if the Department is not regarded as a trusted regulator and used as a credible source of information.
Risk Responses Link to the Department's Core Responsibilities Link to Mandate Letter Commitments or Government-Wide Priorities
Implemented informative initiatives Core Responsibility 2:
Health Protection and Promotion
Government priority:
Keeping Canadians Safe and Healthy
Provided more engagement opportunities with Canadians and stakeholders As above As above
Improved communication tools As above As above

Maintain confidence in Health Canada as a trusted regulator

To ensure that Health Canada continues to be seen as a trusted regulator and credible source of information, and to help Canadians make informed health and safety decisions, the Department successfully implemented effective risk responses in the 2021-22 fiscal year.

Key examples of Health Canada's risk responses:

Implemented informative initiatives

Provided more engagement opportunities to Canadians and stakeholders

Improved communication tools

Risk 4: Health Canada's ability to help protect the health of Canadians may be weakened due to the increasing complexity of the global supply chain and the rapid pace of innovation.
Risk Response Link to the Department's Core Responsibilities Link to Mandate Letter Commitments or Government-Wide Priorities
Strengthened oversight Core Responsibility 2:
Health Protection and Promotion
Mandate letter commitment:
Safe and sustainable use of effective pesticide products in Canada.
Government priority:
Keeping Canadians Safe and Healthy
Collaborated internationally As above Government priority:
As above
Increased regulatory and non-regulatory activities As above Government priority:
As above

Protect Canadians from the risks of products

To help protect Canadians from the risks of products in an innovative and globalized environment, the Department successfully implemented risk responses to alleviate the risk.

Key examples of Health Canada's risk responses:

Strengthened oversight

Collaborated internationally

Increased regulatory and non-regulatory activities

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