Program directory · Department of Indigenous Services
Home and Long-term Care
- Department
- Department of Indigenous Services
- 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).
| Program | Relation | Years with data | Actual spending over those years |
|---|---|---|---|
| Home and Community Care | Earlier program (name match, low confidence) | 2019-20 – 2024-25 | $767M |
| Home and Long-term Care | This program | 2023-24 – 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.
| Year | What changed | Source |
|---|---|---|
| 2023-24 | Appears to replace Home and Community Care | Canada Spends name match across plans (an inference) |
| 2024-25 | Indicators added: Ratio of Full-Time Equivalent (FTE) nurses per 1000 on-reserve population | Departmental Results Framework (GC InfoBase) |
| 2024-25 | Indicators dropped: Number of nurse FTEs employed by the First Nations and Inuit home and community care (FNIHCC) program 1000 population | Departmental Results Framework (GC InfoBase) |
| 2025-26 | Planned employees (FTEs) 100, against 134 in 2024-25 (−25%). | FTEs (GC InfoBase) |
| 2025-26 | Indicators dropped: The ratio of institutional care clients to in-home care clients adjusted for demographic changes | Departmental Results Framework (GC InfoBase) |
| 2026-27 | Planned 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
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 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% | 2025 | 96% 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 |
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2024-25 | 1.2 per 1,000 | 2025 | .86 Performance results correspond to the preceding fiscal year to align with public reporting timelines. | Not met |
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2024-25 | Maintain or decrease results year over year | 2025 | Not 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
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 99% | 2027 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 1.2 | 2027 | — | Planned |
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 |
|---|---|---|
| 2023-24 | $353M | $413M |
| 2024-25 | $362M | $417M |
| 2025-26 | $414M | — |
| 2026-27 | $366M | — |
| 2027-28 | $359M* | — |
| 2028-29 | $363M* | — |
Employees (FTEs)
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 2023-24 | 86 | 128 |
| 2024-25 | 87 | 134 |
| 2025-26 | 100 | — |
| 2026-27 | 73 | — |
| 2027-28 | 73* | — |
| 2028-29 | 73* | — |
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 | 2023-24 | 2024-25 | 2025-26 | 2026-27 | 2027-28 | 2028-29 |
|---|---|---|---|---|---|---|
| 2023-24 plan | $352,698,919 | $360,145,366 | $295,078,854 | |||
| 2024-25 plan | $362,415,047 | $296,573,235 | $298,531,757 | |||
| 2025-26 plan | $414,061,264 | $346,929,010 | $351,507,748 | |||
| 2026-27 plan | $366,002,590 | $358,502,428 | $363,169,182 | |||
| Actual | $413,108,406 | $417,032,542 |
Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.