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Program directory · Department of Indigenous Services

Home and Long-term Care

Program code
BYP02 (INDSC)
Core responsibility
Indigenous Well-Being and Self-Determination
In Departmental Plans
2023-24 – 2026-27 · New since an earlier plan

What it does

The Home and Long-Term Care Program provides funding to support home and community health care services to First Nations and Inuit, as well as assisted living social supports for individuals who are ordinarily resident on reserve. Through this program, communities receive resources to deliver a continuum of care that enables individuals to remain safely at home and maintain their independence for as long as possible.

First Nations and Inuit Home and Community Care funding focuses on priority health services such as client assessments, care coordination and case management, nursing care, personal care, palliative care, home supports, in-home respite, and referrals to other health and social services. In addition, funding supports data collection and a range of supportive services, including rehabilitation therapies, in-home palliative care, adult day programs, meal services and mental health care.

Beyond direct client care, funding allocations prioritize program governance and quality. This includes support for the management of health records and data, and health services planning grounded in culturally-adapted quality improvement and recognized health service standards. Clinical supervision and supports for health professionals are also funded to ensure effective and culturally-appropriate care.

Assisted Living funding is provided to support complementary social support services for low-income individuals ordinarily resident on reserve and in the Yukon, including seniors, persons with disabilities and individuals living with chronic health issues or activity limitations. The three main components include: in-home care, adult foster care and institutional care for those needing personal 24-hour care. The delivery of these services along a continuum of care can enable communities to better manage services and supports effective service provision and efficiency.

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).

2019-202020-212021-222022-232023-242024-252025-262026-272027-282028-29Home and Community Care 2019-20: $148MHome and Community Care 2020-21: $153MHome and Community Care 2021-22: $252MHome and Community Care 2022-23: $214MHome and Community Care 2023-24: $152MHome and Community Care 2024-25: $152MHome and Long-term Care 2023-24: $413MHome and Long-term Care 2024-25: $417MHome and Long-term Care 2025-26: $414MHome and Long-term Care 2026-27: $366MHome and Long-term Care 2027-28: $359MHome and Long-term Care 2028-29: $363MHome and Community CareHome and Long-term Care
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
Home and Community CareEarlier program (name match, low confidence)2019-20 – 2024-25$767M
Home and Long-term CareThis program2023-24 – 2028-29$830M

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 replace Home and Community CareCanada Spends name match across plans (an inference)
2024-25Indicators added: Ratio of Full-Time Equivalent (FTE) nurses per 1000 on-reserve populationDepartmental Results Framework (GC InfoBase)
2024-25Indicators dropped: Number of nurse FTEs employed by the First Nations and Inuit home and community care (FNIHCC) program 1000 populationDepartmental Results Framework (GC InfoBase)
2025-26Planned employees (FTEs) 100, against 134 in 2024-25 (−25%).FTEs (GC InfoBase)
2025-26Indicators dropped: The ratio of institutional care clients to in-home care clients adjusted for demographic changesDepartmental Results Framework (GC InfoBase)
2026-27Planned employees (FTEs) 73, against 100 in 2025-26 (−27%).FTEs (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

Percentage of cases where a resident on reserve was assessed for services from the Assisted Living Program and received those services
Expected result: First Nations and Inuit individuals receive Home and Long-term care programming that improves quality of life
99%2023-24– no result96%2024-25✗ not met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-24≥ 99%2024—
Given the timing of reporting and availability of results from the data source, results reported are from the previous fiscal year, e.g. results in 2023-24 refer to the 2022-23 year. Although results for 2022-23 and 2023-24 are not available, ISC continued to support vulnerable populations on-reserve with non-medical, social support services that help maintain their functional independence within…
No result reported
2024-25≥ 99%202596%
Performance results correspond to the preceding fiscal year to align with public reporting timelines. To support the new approach of aligning data with reporting timelines and enhancing consistency in public data reporting, the 2023-24 result is repeated for 2024-25.
Not met
Ratio of Full-Time Equivalent (FTE) nurses per 1000 on-reserve population
Expected result: First Nations and Inuit individuals receive Home and Long-term care programming that improves quality of life
Report yearTargetDueResultStatus
2024-251.2 per 1,0002025.86
Performance results correspond to the preceding fiscal year to align with public reporting timelines.
Not met
The ratio of institutional care clients to in-home care clients adjusted for demographic changes
Expected result: First Nations and Inuit individuals receive Home and Long-term care programming that improves quality of life
Report yearTargetDueResultStatus
2024-25Maintain or decrease results year over year2025Not Available
Retired in 2025-2026. Performance results correspond to the preceding fiscal year to align with public reporting timelines. To support the new approach of aligning data with reporting timelines and enhancing consistency in public data reporting, the 2023-24 result is repeated for 2024-25.
No result reported

Current: the 2026-27 plan's targets

Percentage of cases where a resident on reserve was assessed for services from the Assisted Living Program and received those services
Expected result: First Nations and Inuit individuals receive Home and Long-term care programming that improves quality of life
99%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 99%2027—Planned
Ratio of Full-Time Equivalent (FTE) nurses per 1000 on-reserve population
Expected result: First Nations and Inuit individuals receive Home and Long-term care programming that improves quality of life
1.22026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 1.22027—Planned

Future goals: targets due after 2026-27

No targets with a later due date.

Spending and employees: planned against actual

Spending

2023-24: $353M2023-24: $413M2023-242024-25: $362M2024-25: $417M2024-252025-26: $414M2025-262026-27: $366M2026-272027-28: $359M2027-282028-29: $363M2028-29
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$353M$413M
2024-25$362M$417M
2025-26$414M—
2026-27$366M—
2027-28$359M*—
2028-29$363M*—

Employees (FTEs)

2023-24: 862023-24: 1282023-242024-25: 872024-25: 1342024-252025-26: 1002025-262026-27: 732026-272027-28: 732027-282028-29: 732028-29
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
2023-2486128
2024-2587134
2025-26100—
2026-2773—
2027-2873*—
2028-2973*—

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.