Program directory · Department of Indigenous Services
Health Systems Support
- Department
- Department of Indigenous Services
- Program code
- BYP04 (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 Health Systems Support Program develops initiatives that work to transform health systems and move the department and Indigenous Peoples towards service transfer. This involves supporting Indigenous communities and partners in building capacity for service delivery, by advancing accreditation and the integration of standards for quality and culturally safe services, furthering integration with existent provincial/territorial health systems, supporting community-level health service planning initiatives, and advancing the health governance goals of Indigenous peoples. Program elements include Community Health Planning, the Health Services Integration Fund, the Health Transformation initiative, British Columbia Tripartite Health Governance, Accreditation, Health Human Resources, and funding for Indigenous-led health surveys. It also includes the initiative to co-develop distinctions-based Indigenous health legislation, and distinctions-based collaboration with Indigenous Peoples to address anti-Indigenous racism in Canada’s health systems.
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 |
|---|---|---|---|
| Health Systems Support | This program | 2023-24 – 2028-29 | $1.91B |
No earlier or later program in the same department has a similar name.
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 |
|---|---|---|
| 2026-27 | Planned employees (FTEs) 48, against 97 in 2025-26 (−51%). | 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 | ≥ 60% | 2024 | 56% Five of the six Health Transformation initiatives are covered by a Memorandum of Understanding (totaling 355 communities across Canada). Battlefords Agency Tribal Chiefs have not yet completed a Memorandum of Understanding but are targeting this fiscal. Currently, there are three projects working towards Health Transformation Readiness Criteria, but due to funding ISC cannot onboard a new Health… | Not met |
| 2024-25 | ≥ 65% | 2025 | 56% Target year was updated to March 2027 to align with funding renewal commitments. Target to be achieved in the future. | Not met |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2023-24 | ≥ 94% | 2024 | 93.4% The results may not reflect that some First Nation communities receive health services from health authorities, tribal councils or other First Nation organizations with an Indigenous-led plan for health service delivery. In addition, First Nations in British Columbia (BC) are not included in the calculation due to the transfer of federal health programs and services to the B.C. First Nations Heal… | Not met |
| 2024-25 | ≥ 95% | 2025 | 91.5% Results may not reflect that some First Nations communities receive health services from health authorities, tribal councils or other First Nations organizations with an Indigenous-led plan for health service delivery. First Nations in British Columbia (BC) are not included in the calculation due to the transfer of federal health programs and services to the B.C. First Nations Health Authority. | Not met |
Current: the 2026-27 plan's targets
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 60% | 2027 | — | Planned |
Bars: result reported. Dashed line: target.
| Report year | Target | Due | Result | Status |
|---|---|---|---|---|
| 2026-27 | ≥ 95% | 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 | $639M | $876M |
| 2024-25 | $887M | $1.03B |
| 2025-26 | $1.11B | — |
| 2026-27 | $1.15B | — |
| 2027-28 | $1.2B* | — |
| 2028-29 | $1.24B* | — |
Employees (FTEs)
Show the numbers
| Fiscal year | Planned | Actual |
|---|---|---|
| 2023-24 | 99 | 70 |
| 2024-25 | 90 | 77 |
| 2025-26 | 97 | — |
| 2026-27 | 48 | — |
| 2027-28 | 48* | — |
| 2028-29 | 48* | — |
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 | $638,713,842 | $599,680,004 | $259,594,055 | |||
| 2024-25 plan | $887,432,229 | $736,815,175 | $776,315,764 | |||
| 2025-26 plan | $1,108,117,473 | $1,150,241,250 | $1,195,861,430 | |||
| 2026-27 plan | $1,154,085,179 | $1,196,003,566 | $1,243,386,090 | |||
| Actual | $875,981,209 | $1,030,342,969 |
Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.
