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Program directory · National Defence

Total Health Care

Program code
BUP03 (ND)
Core responsibility
Defence Team
In Departmental Plans
2018-19 – 2026-27 · New since an earlier plan

What it does

The Total Health Care program provides a full spectrum of safe, high-quality health services to Canadian Armed Forces through a well-governed health care system. The Program also supports DND civilian health and wellness.

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

History and lineage

First appears in GC InfoBase's actual spending by program in 2018-19. 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).

2018-192019-202020-212021-222022-232023-242024-252025-262026-272027-282028-29Total Health Care 2018-19: $653MTotal Health Care 2019-20: $687MTotal Health Care 2020-21: $845MTotal Health Care 2021-22: $711MTotal Health Care 2022-23: $750MTotal Health Care 2023-24: $966MTotal Health Care 2024-25: $839MTotal Health Care 2025-26: $853MTotal Health Care 2026-27: $1.22BTotal Health Care 2027-28: $1.3BTotal Health Care 2028-29: $1.32BTotal Health 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
Total Health CareThis program2018-19 – 2028-29$5.45B

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.

YearWhat changedSource
2020-21Indicators added: % of civilian employees who describe the workplace as psychologically healthyDepartmental Results Framework (GC InfoBase)
2020-21Indicators dropped: % of civilian employees at the Department of National Defence who would describe their workplace as being psychologically healthy based on the 13 factors of the National Standard of Canada for Psychological Health and Safety in the WorkplaceDepartmental Results Framework (GC InfoBase)
2022-23Indicators added: % of Canadian Armed Forces members who feel positive about their job; % of military personnel who are medically fit for their occupation; Degree to which CAF health services comply with Canadian health care standardsDepartmental Results Framework (GC InfoBase)
2022-23Indicators dropped: % of Canadian Armed Forces members who report a positive level of workplace well-beingDepartmental Results Framework (GC InfoBase)
2023-24Spending $966M, against $750M in 2022-23 (+29%).Actual spending (GC InfoBase)
2024-25Indicators added: % of public service employees in the Defence Team who describe the workplace as psychologically healthyDepartmental Results Framework (GC InfoBase)
2024-25Indicators dropped: % of civilian employees who describe the workplace as psychologically healthyDepartmental Results Framework (GC InfoBase)
2026-27Planned spending $1.22B, against $853M in 2025-26 (+43%).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

% of Canadian Armed Forces members who feel positive about their job
Expected result: The well-being of the Defence Team is supported
0%2022-23✗ not met57.7%2023-24✗ not met54.6%2024-25✗ not met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2022-23≥ 85%20230%
The result is unavailable at this time due to database changes within Guardian. It is anticipated that the result for 2022-23 will be available in the Fall of this year.
Not met
2023-24≥ 85%202457.7%
In FY 2023-24 of the survey respondents who self-identified as a Regular Force member, 53.5% of respondents felt positive about their job whereas, 68.3% of Primary Reserve respondents felt positive about their job.
Not met
2024-25≥ 85%202554.6%
Feelings of positivity regarding ones job is a component of overall job engagement, which may be impacted by a number of factors. The most recent Your Say Matters Reg. Force results show that meaningful work and pride in organizational membership are among the top factors that have the strongest overall relationships with all outcomes, including job engagement. As such, the DND/CAF will continue…
Not met
% of military personnel who are medically fit for their occupation
Expected result: Medical and dental readiness of the CAF is sustained
0%2022-23✗ not met90%2023-24✓ met90.1%2024-25✓ met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2022-23≥ 90%20230%
The result is unavailable at this time due to database changes within Guardian. It is anticipated that the result for 2022-23 will be available in the Fall of this year.
Not met
2023-24≥ 90%202490%Met
2024-25≥ 90%202590.1%Met
% of public service employees in the Defence Team who describe the workplace as psychologically healthy
Expected result: Employees benefit from a psychologically safe and supportive work environment
60%2024-25✗ not met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2024-25≥ 80%202560%
Ensuring that all DND public service employees perceive their workplace as psychologically healthy remains a priority for DND/CAF. Although the target was not met, the results of the Public Service Employee Survey for DND employees for this metric was 1% above the public service average, indicating a level of psychological health comparable to other federal organizations. The target is currently…
Not met
Degree to which CAF health services comply with Canadian health care standards
Expected result: The quality of CAF health services is comparable to that provided by other Canadian healthcare organizations
Report yearTargetDueResultStatus
2022-23Green - Accreditation with Commendation2023No Results Available.
The decision Accredited with Report and Supplemental Survey was provided by Accreditation Canada. Normally conducted every four years, the previous cycle was extended one year due to the pandemic. Accreditation decision awarded 2022 (2017 - 2022). Required Organization Practices (85% compliance). Standards (81% compliance). Follow-up report due 15 September 2023. Supplemental survey to occur at s…
No result reported
2023-24Green - Accreditation with Commendation2024Accredited with Report & Supplemental Survey
This is a decision award provided by Accreditation Canada every four years. The Accreditation decision was awarded in 2022, whereby the Required Organization Practices scored 85% compliance and Standards scored 81% compliance. A follow-up report was completed in September 2023 and a supplemental survey was carried out in November 2023 resulting in several progress improvement reports to be comple…
Met
% of civilian employees who describe the workplace as psychologically healthy
Expected result: Employees benefit from a psychologically safe and supportive work environment
66%2020-21– no result65%2022-23✗ not met80%2023-24– no result

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2020-21——66%
When this indicator was first used in FY 2018-19, no target and no target date were established as there was no historical data for previous fiscal year results. It was determined that when 3 years of data have been collected, research-based recommendations would inform targets and thresholds and once completed the dates to achieve the targets would be established.
No result reported
2021-22———
Data used to report on this indicator could not be collected as the 2021 Public Service Employee Survey was not launched by the Treasury Board of Canada Secretariat.
No result reported
2022-23≥ 80%202365%
Ensuring that DND public service employees feel that their workplace is psychologically healthy continues to be a priority for DND/CAF. There has been a 6% increase in DND public service employees who report that they would describe their workplace as psychologically healthy since the indicator was first reported on in 2018-19. Efforts are ongoing to improve this result through the implementation…
Not met
2023-24≥ 80%2024—
This indicator is taken from the Public Service Employee Survey (PSES). There was no PSES administered in 2023-24 and therefore, no results are available. The next PSES will be administered in FY 2024-25.
No result reported
% of Canadian Armed Forces members who report a positive level of workplace well-being
Expected result: Canadian Armed Forces members report a high level of workplace well-being
67.4%2020-21✗ not met71.5%2021-22– no result

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2020-21≥ 69%202167.4%
Although the FY 2020-21 result is lower than the FY 2019-20 result (71.5%), the 99% confidence intervals surrounding the estimates overlap. It is assessed the decrease is not statistically significant.
Not met
2021-22≥ 71.5%2022—
FY 2021-22 result is not available due to delays in data collection combined with the complexity involved in the annual calculation and explanation of this metric. Results for the approved replacement indicator (% of CAF members who feel positive about their job) will be reported starting in FY 2022-23.
No result reported

Current: the 2026-27 plan's targets

% of military personnel who are medically fit for their occupation
Expected result: Medical and dental readiness of the CAF is sustained
90%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 90%2027—Planned
Degree to which CAF health services comply with Canadian health care standards
Expected result: The quality of CAF health services is comparable to that provided by other Canadian healthcare organizations
Report yearTargetDueResultStatus
2026-27Green - Accreditation with Commendation2027—Planned

Future goals: targets due after 2026-27

% of Canadian Armed Forces members who feel positive about their job
Expected result: The well-being of the Defence Team is supported
85%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 85%2028—Planned
% of public service employees in the Defence Team who describe the workplace as psychologically healthy
Expected result: Employees benefit from a psychologically safe and supportive work environment
80%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 80%2030—Planned

Spending and employees: planned against actual

Spending

2018-19: $559M2018-19: $653M2018-192019-20: $663M2019-20: $687M2019-202020-21: $750M2020-21: $845M2020-212021-22: $741M2021-22: $711M2021-222022-23: $768M2022-23: $750M2022-232023-24: $809M2023-24: $966M2023-242024-25: $818M2024-25: $839M2024-252025-26: $853M2025-262026-27: $1.22B2026-272027-28: $1.3B2027-282028-29: $1.32B2028-29
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
2018-19$559M$653M
2019-20$663M$687M
2020-21$750M$845M
2021-22$741M$711M
2022-23$768M$750M
2023-24$809M$966M
2024-25$818M$839M
2025-26$853M—
2026-27$1.22B—
2027-28$1.3B*—
2028-29$1.32B*—

Employees (FTEs)

2018-19: 2,9552018-19: 3,0892018-192019-20: 2,9202019-20: 3,6962019-202020-21: 2,3322020-21: 3,5702020-212021-22: 3,9802021-22: 3,4662021-222022-23: 3,4512022-23: 3,6372022-232023-24: 3,4052023-24: 3,6852023-242024-25: 3,4912024-25: 3,6442024-252025-26: 3,4882025-262026-27: 3,8772026-272027-28: 3,9242027-282028-29: 3,9502028-29
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
2018-192,9553,089
2019-202,9203,696
2020-212,3323,570
2021-223,9803,466
2022-233,4513,637
2023-243,4053,685
2024-253,4913,644
2025-263,488—
2026-273,877—
2027-283,924*—
2028-293,950*—

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.