2014 Health Accord

Welcome to the 2014 Health Accord Page. This page contains a range of resources relating to the upcoming Canadian Health Accord renewal. Within this section there will be historical documents that look at the original accord to provide context, as well as current reports and papers that examine the challenges and issues faced by the upcoming health renewal. Resources will be selected for inclusion based on credibility and will come from a variety of sources, including government websites, academic centres, research institutes, and more. To suggest a resource, email the READ Portal librarian at librarian@chcm.ubc.ca.

Time for Transformative Change: A Review of the 2004 Health Accord Standing

“On January 31, 2011, the Minister of Health requested that the Standing Senate Committee on Social Affairs, Science and Technology initiate the second parliamentary review of the 10-Year Plan to Strengthen Health Care (10-Year Plan), an agreement reached by First Ministers on September 16, 2004 that focuses on federal/provincial/territorial (F/P/T) collaboration in the area of health care reform. The committee’s study is undertaken pursuant to section 25.9 of the Federal-Provincial Fiscal Arrangements Act, which requires that a parliamentary committee review progress towards the implementation of the 10-Year Plan on or before March 31, 2008 and three years thereafter. The committee’s review also includes an examination of the separate Communiqué on Improving Aboriginal Health, which was released by First Ministers and Leaders of National Aboriginal Organizations1 on 14 September, 2004.

This report presents the committee’s findings regarding progress towards the implementation of the 10-Year Plan and the Communiqué on Improving Aboriginal Health and identifies further actions that could be taken in support of the objectives outlined in these documents. It reflects the testimony presented by witnesses over the course of 13 hearings and one roundtable discussion, as well as many written submissions received from interested organizations and individuals.

The key themes raised by these witnesses provide the basis and spirit of the recommendations outlined in this report. Witnesses emphasized to this committee the central importance of adopting a holistic understanding of health that sees physical and mental wellbeing as inextricably linked and equally important to the efficiency and quality of health care systems. This holistic concept of health has become a framing principle for this report.”

Renewing the Canada Health Transfer: Implications for Federal and Provincial-Territorial Fiscal Sustainability.

“The mandate of the Parliamentary Budget Officer (PBO) is to provide independent analysis to Parliament on the state of the nation’s finances, the government’s estimates and trends in the Canadian economy; and upon request from a committee or parliamentarian, to estimate the financial cost of any proposal for matters over which Parliament has jurisdiction.

This note provides an update of PBO’s baseline long-term fiscal projections and fiscal gap estimates (published in its Fiscal Sustainability Report 2011) that incorporates the recent Canada Health Transfer (CHT) renewal. On December 19, 2011 the Government of Canada announced that: the CHT would continue to grow at 6 per cent annually until 2016-17; starting in 2017-18 the CHT would then grow in line with a 3-year moving average of nominal GDP growth (with a minimum increase of 3 per cent per year guaranteed); and, the CHT will be reviewed again in 2024.”

Provincial and Territorial Health System Priorities: An Environmental Scan.

“Healthcare in Canada is decentralized into 14 health systems—13 provinces and territories and the Federal Government. Each of these involves a mixture of urban, rural and remote settings, all facing competing priorities and constrained budgets. A recent analysis shows that health spending is rising faster than the rate of economic growth.i In this context, along with the approaching expiry of the 10-Year Plan to Strengthen Health Care (2004), the Canadian Health Services Research Foundation (CHSRF) recognizes that this is a critical time to examine questions of health system sustainability, accessibility, quality and responsiveness.

As such, CHSRF undertook an environmental scan to explore the shared values and principles, goals and key health policy issues across provinces and territories. The scan used a framework analysis approach,ii examining strategic planning documents for the period of 2008-2011 that were available during the analysis—February-March 2011. At the same time, CHSRF consulted with senior policy-makers across provinces and territories in ministries of health, intergovernmental affairs and finance. This summary presents key findings from the framework analysis and face-to-face meetings.”

Progress Report 2011: Health care renewal in Canada

“This report on Canada’s health care performance is a pan-Canadian look at five key commitments under the 2003 First Ministers’ Accord on Health Care Renewal and the 2004 10-Year Plan to Strengthen Health Care, and it highlights progress to date on wait times, pharmaceuticals management, electronic health records, teletriage, and health care innovation.

2003 Accord – Fact Sheets

This government website contains links to the following

  • 2003 First Ministers Health Accord
  • Federal Health Investments
  • Diagnostic and Medical Equipment
  • Building the Society Canadians Value
  • Investing in Canada’s Health Care System
  • Overview of the Canadian Health Care System
  • Pharmaceuticals Management and Catastrophic Drug Coverage
  • Primary Health Care
  • Home Care For Canadians
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