Program directory · Department of Indigenous Services
Clinical and Client Care
- Department
- Department of Indigenous Services
- Program code
- BXL02 (INDSC)
- Core responsibility
- Services and Benefits to Individuals
- In Departmental Plans
- 2019-20 – 2022-23 · Appeared and later dropped
What it does
The objective of the Clinical and Client Care Program is to provide primary care services to First Nations individuals, families, and communities in remote and isolated First Nations communities. Clinical and Client Care services are crucial in improving the health status of First Nations in communities where primary care services would otherwise be hours away. Key services supporting program delivery include: triage; emergency resuscitation and stabilization; emergency ambulatory care; outpatient non-urgent services (including public health); coordinated/integrated care and referral to appropriate provincial secondary and tertiary levels of care; and, in two communities, hospital inpatient, ambulatory and emergency services. Clinical and Client Care shares synergies with other programs and provincial partners. Health Planning and Quality Management and Systems Integration Program activities support communities through planning the transfer of Clinical and Client Care services to First Nations and facilitating the nursing station accreditation process. Health Facilities Program supports major capital repairs, and e-Health programming supports the implementation of new and effective health technologies. Clinical and Client Care services are delivered in collaboration with provincial and private practice healthcare providers.
Source: the department's Program Inventory, via GC InfoBase.
History and lineage
First appears in GC InfoBase's actual spending by program in 2019-20. 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).
| Program | Relation | Years with data | Actual spending over those years |
|---|---|---|---|
| Clinical and Client Care | Earlier program (name match, high confidence) | 2018-19 – 2020-21 | $237M |
| Clinical and Client Care | This program | 2019-20 – 2024-25 | $1.5B |
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.
| Year | What changed | Source |
|---|---|---|
| 2019-20 | Appears to replace Clinical and Client Care | Canada Spends name match across plans (an inference) |
| 2020-21 | Spending $424M, against $244M in 2019-20 (+74%). | Actual spending (GC InfoBase) |
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
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2021-22 | ≤ 50% | 2022 | 62.6% The COVID-19 pandemic has had a strong impact on surge capacity, increasing the need for contract nursing relief services, in ISC nursing stations. | Not met |
Current: the 2026-27 plan's targets
No indicators in the 2026-27 plan.
Future goals: targets due after 2026-27
No targets with a later due date.
Spending and employees: planned against actual
Spending
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 2019-20 | $235M | $244M |
| 2020-21 | $243M | $424M |
| 2021-22 | $350M | $428M |
| 2022-23 | $380M | $399M |
| 2023-24 | $387M* | — |
| 2024-25 | $386M* | — |
Employees (FTEs)
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 2019-20 | 596 | 716 |
| 2020-21 | 600 | 696 |
| 2021-22 | 614 | 737 |
| 2022-23 | 749 | 731 |
| 2023-24 | 793* | — |
| 2024-25 | 803* | — |
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
| Plan | 2019-20 | 2020-21 | 2021-22 | 2022-23 | 2023-24 | 2024-25 |
|---|---|---|---|---|---|---|
| 2019-20 plan | $235,210,851 | $241,142,372 | $248,678,729 | |||
| 2020-21 plan | $243,006,283 | $250,902,222 | $254,717,075 | |||
| 2021-22 plan | $349,713,317 | $261,211,716 | $299,620,300 | |||
| 2022-23 plan | $379,864,427 | $386,769,422 | $386,438,981 | |||
| Actual | $243,704,887 | $424,177,445 | $427,997,574 | $399,198,120 |
Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.
