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Program directory · Health Canada

Responsive Health Care Systems

Department
Health Canada
Program code
BVG21 (H)
Core responsibility
Health Care Systems
In Departmental Plans
2023-24 – 2026-27 · New since an earlier plan

What it does

The delivery of health care services is primarily a provincial and territorial government responsibility, which can result in varied health care services. To promote equitable quality, affordability and availability of health care services across Canada, Health Canada assumes a unique national leadership role by monitoring the implementation of provincial/territorial health plans and compliance with legislation and regulatory requirements, providing policy direction to departmental senior officials, and supporting stakeholders to undertake health care system improvements. Health Canada convenes and works with governments and partner organizations to develop and implement national approaches on shared health priorities and evidence-based practices. Health Canada also builds capacity for health care providers in targeted areas of emerging priority or gaps, through funding, training, sharing knowledge products, and exchanging knowledge. The initiatives under the Responsive Health Care Systems Program aim to improve the access to responsive health care services for people across Canada, including diverse communities. These initiatives under the Responsive Health Care Systems Program also support the implementation of systemic health care improvements to maintain or improve the health of people across Canada.

Source: the department's Program Inventory, via GC InfoBase.

History and lineage

First appears in GC InfoBase's actual spending by program in 2023-24. The data does not record when a program was created; it may be older than its first appearance here, which is limited by the sources (program spending starts in 2010-11, Departmental Plans in 2018-19).

2018-192019-202020-212021-222022-232023-242024-252025-262026-272027-282028-29Health Care Systems Analysis and Policy 2018-19: $42.6MHealth Care Systems Analysis and Policy 2019-20: $51.6MHealth Care Systems Analysis and Policy 2020-21: $209MHealth Care Systems Analysis and Policy 2021-22: $315MHealth Care Systems Analysis and Policy 2022-23: $294MHealth Care Systems Analysis and Policy 2023-24: $117MHealth Care Systems Analysis and Policy 2024-25: $89.2MPromoting Minority Official Languages in the Health Care Systems 2018-19: $37MPromoting Minority Official Languages in the Health Care Systems 2019-20: $40.4MPromoting Minority Official Languages in the Health Care Systems 2020-21: $38.6MPromoting Minority Official Languages in the Health Care Systems 2021-22: $40.1MPromoting Minority Official Languages in the Health Care Systems 2022-23: $38.8MPromoting Minority Official Languages in the Health Care Systems 2023-24: $38.9MPromoting Minority Official Languages in the Health Care Systems 2024-25: $38.9MResponsive Health Care Systems 2023-24: $4.57BResponsive Health Care Systems 2024-25: $5.09BResponsive Health Care Systems 2025-26: $5.53BResponsive Health Care Systems 2026-27: $5.76BResponsive Health Care Systems 2027-28: $4.18BResponsive Health Care Systems 2028-29: $3.58BHealth Care Systems Analysis and PolicyPromoting Minority Official Languages in the Health Care SystemsResponsive Health Care Systems
Bars: spending by fiscal year (dark: actual; light: actual restated on the 2017-18 program structure; outlined: the latest plan's forecast; grey: related programs). Bands: each program in the lineage over the years it has data.
ProgramRelationYears with dataActual spending over those years
Health Care Systems Analysis and PolicyEarlier program (name match, medium confidence)2018-19 – 2024-25$912M
Promoting Minority Official Languages in the Health Care SystemsEarlier program (name match, low confidence)2018-19 – 2024-25$195M
Responsive Health Care SystemsThis program2023-24 – 2028-29$9.67B

Significant changes in scope and budget

Detected from the data: renames between plans, programs it appears to replace, merge with or split into (matched by name), year-over-year changes in spending of at least 25% and $5M, or in employees of at least 20% and 25 FTEs, linked budget measures, and results indicators added or dropped.

YearWhat changedSource
2023-24Appears to combine earlier programs: Health Care Systems Analysis and Policy; Promoting Minority Official Languages in the Health Care SystemsCanada Spends name match across plans (an inference)
2024-25Employees (FTEs) 78, against 107 in 2023-24 (−27%).FTEs (GC InfoBase)
2024-25Indicators added: Percentage of family health service professionals and specialists that can electronically exchange information outside their practice; Percentage of patented drugs priced above the median for comparator countriesDepartmental Results Framework (GC InfoBase)
2024-25Indicators dropped: Percentage of patented drugs priced above the international median; Percentage of primary care physicians who can electronically exchange records with institutions and providers outside their practiceDepartmental Results Framework (GC InfoBase)
2025-26Planned employees (FTEs) 105, against 78 in 2024-25 (+35%).FTEs (GC InfoBase)
2025-26Indicators added: Projected number of new cancer cases per 100,000 peopleDepartmental Results Framework (GC InfoBase)
2025-26Indicators dropped: Percentage of Canadians screened within guidelines for colorectal cancer; Percentage of patented drugs priced above the median for comparator countries; Percentage of total deaths in Canada attributable to medical assistance in dyingDepartmental Results Framework (GC InfoBase)
2026-27Indicators added: Ratio of Canadian patented medicine prices to prices in comparable countriesDepartmental Results Framework (GC InfoBase)
2026-27Indicators dropped: Percentage of family health service professionals and specialists that can electronically exchange information outside their practice; Percentage of patients on waiting lists in Canada who received a transplantDepartmental Results Framework (GC InfoBase)
2027-28Planned spending $4.18B, against $5.76B in 2026-27 (−27%).Latest Departmental Plan

Success criteria

The program's indicators from its department's Departmental Results Framework: the target set in each year's plan, and the result reported the following year. Source: GC InfoBase.

Historical: targets against results

Median length of time a hospital stay is extended until home care services or supports are ready
Expected result: Stakeholders implement evidence-based improvements in health or social services across health care systems
Report yearTargetDueResultStatus
2023-24TBD20249 days
As a result of recent changes in Patented Medicine Prices Review Board guidelines and comparator countries, baseline or comparable data from previous years are not yet available to set a target. Data was collected in 2022-23 and released in Fall 2023. Starting with reporting year 2023-24, results are presented based on the publication date as opposed to the timing of data collection.
No result reported
2024-25——8 days
A target has not been set by the federal / provincial / territorial indicator development committee.
No result reported
Percentage of known or alleged cases of extra-billing and user charges resolved in full conformity with the requirements of the Canada Health Act within two fiscal years of notice
Expected result: Provinces and territories and health care providers fulfil legislative or regulatory requirements
50%2023-24✓ met66.7%2024-25✓ met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-24≥ 50%202450%Met
2024-25≥ 50%202566.7%Met
Percentage of stakeholders reporting that the knowledge and skills they have acquired are useful in advancing the implementation of health care system improvements in priority areas
Expected result: Targeted stakeholders acquire knowledge, skills and supports to improve health care systems and services
92%2023-24✓ met90%2024-25✓ met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-24≥ 80%202492%Met
2024-25≥ 70%202590%Met
Percentage of patients on waiting lists in Canada who received a transplant
Expected result: Health care products and services are available based on the evolving needs of Canadians
Report yearTargetDueResultStatus
2023-24≥ 652024100
The current calculation does not account for all patients on the waiting list for a transplant. Health Canada is working with the Canadian Institute for Health Information to improve data quality and availability through a federally funded Organ Donation and Transplantation data and performance reporting system.
Met
2024-25≥ 652025—
Data not available. Health Canada is working with the Canadian Institute for Health Information to improve data quality and availability through a federally funded Organ Donation and Transplantation data and performance reporting system.
No result reported
Percentage of total deaths in Canada attributable to medical assistance in dying
Expected result: Health care products and services are available based on the evolving needs of Canadians
1%2023-24– no result

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-241% – 4%2024—
Data was not available at the time of reporting, due to changes in data collection and analysis. Data will be available when the fifth annual report on Medical Assistance in Dying in Canada (2023) is published.
No result reported
Percentage of patented drugs priced above the international median
Expected result: Health care systems facilitate access to targeted health services and products for Canadians
Report yearTargetDueResultStatus
2023-24—202458%
As a result of recent changes in Patented Medicine Prices Review Board guidelines and comparator countries, baseline or comparable data from previous years are not yet available to set a target. Data was collected in 2022 and published in 2024 by the Patented Medicine Prices Review Board. The data was collected using a new methodology that makes previously reported results incomparable.
No result reported

Current: the 2026-27 plan's targets

Median length of time a hospital stay is extended until home care services or supports are ready
Expected result: Stakeholders implement evidence-based improvements in health or social services across health care systems
Report yearTargetDueResultStatus
2026-27Target not specified2027—Planned
Percentage of known or alleged cases of extra-billing and user charges resolved in full conformity with the requirements of the Canada Health Act within two fiscal years of notice
Expected result: Provinces and territories and health care providers fulfil legislative or regulatory requirements
50%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 50%2027—Planned
Percentage of stakeholders reporting that the knowledge and skills they have acquired are useful in advancing the implementation of health care system improvements in priority areas
Expected result: Targeted stakeholders acquire knowledge, skills and supports to improve health care systems and services
70%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 70%2027—Planned
Ratio of Canadian patented medicine prices to prices in comparable countries
Expected result: Health care products and services are available based on the evolving needs of Canadians
1.182026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≤ 1.182027—Planned

Future goals: targets due after 2026-27

Projected number of new cancer cases per 100,000 people
Expected result: Stronger health care systems improve the quality of health care for Canadians
523.92026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≤ 523.92029—Planned

Spending and employees: planned against actual

Spending

2023-24: $2.43B2023-24: $4.57B2023-242024-25: $5.03B2024-25: $5.09B2024-252025-26: $5.53B2025-262026-27: $5.76B2026-272027-28: $4.18B2027-282028-29: $3.58B2028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24$2.43B$4.57B
2024-25$5.03B$5.09B
2025-26$5.53B—
2026-27$5.76B—
2027-28$4.18B*—
2028-29$3.58B*—

Employees (FTEs)

2023-24: 1332023-24: 1072023-242024-25: 1012024-25: 782024-252025-26: 1052025-262026-27: 1042026-272027-28: 852027-282028-29: 722028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24133107
2024-2510178
2025-26105—
2026-27104—
2027-2885*—
2028-2972*—

Planned spending, plan by plan

Each row is one year's Departmental Plan and its forecast for the next three fiscal years; read a column down to see how the forecast for one year changed. The last row is what was actually spent. Click an amount for its source. Biggest changes in federal spending plans

Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.