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2009-10
Report on Plans and Priorities

Health Canada

Supplementary Information (Tables)

Details of Transfer Payment Programs (TPP)

Contributions for Bigstone Non-Insured Health Benefits Pilot Project (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for Bigstone Non-Insured Health Benefits Pilot Project (Voted)

Start Date: April, 2005

End Date: March 2010

Description: Administration and delivery of benefits with Bigstone Health Commission to registered Indians and recognized Inuit.

Expected Results: Improved access to quality well-coordinated culturally appropriate primary health care programs and services for First Nations and Inuit individuals, families and communities.

Contributions for Bigstone Non-Insured Health Benefits Pilot Project (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	8.82	8.82	9.12	9.12
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	8.82	8.82	9.12	9.12

Planned Evaluations: N/A

Contributions for First Nations and Inuit Community Programs (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for First Nations and Inuit Community Programs (Voted)

Start Date: April 1, 2005

End Date: March 2010

Description: Community programs support child and maternal-child health; mental health promotion; addictions prevention and treatment; chronic disease prevention and health promotion services

Expected Results: Increased participation of First Nations and Inuit individuals, families, and communities in programs and supports and improved continuum of programs and services in First Nation and Inuit communities

Contributions for First Nations and Inuit Community Programs (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.0	0.0	0.0	0.0
Total Contributions:	236.06	240.85	168.82	168.72
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	236.06	240.85	168.82	168.72

Planned Evaluations: Children and Youth (CY) Cluster evaluation is underway. The final evaluation report is expected in May 2009

Contributions for First Nations and Inuit Health Benefits (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program:Contributions for First Nations and Inuit Health Benefits (Voted)

Start Date: April, 2005

End Date: March 2010

Description: A limited range of medically necessary health-related goods and services which supplement those provided through other private or provincial/territorial health insurance plans is provided to registered Indians and recognized Inuit. Benefits include drugs, dental care, vision care, medical supplies and equipment, short-term crisis intervention mental health services, and transportation to access medical services not available on reserve or in the community of residence

Expected Results: Access by eligible clients to Non-Insured Health benefits

Contributions for First Nations and Inuit Health Benefits
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	147.64	139.81	144.71	144.81
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	147.64	139.81	144.72	144.81

Planned Evaluations: N/A

Contributions for First Nations and Inuit Health Facilities and Capital Program (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for First Nations and Inuit Health Facilities and Capital Program (Voted)

Start Date: April 2005

End Date: March 2010

Description: Provides funding to eligible recipients for the construction acquisition, leasing, operation and maintenance of nursing stations, health centres, health stations, health offices, treatment centres, staff residences, and operational support buildings

Expected Results: Increase availability of health facilities, equipment and other moveable assets in First Nations and Inuit communities that support the provision of health services

Contributions for First Nations and Inuit Health Facilities and Capital Program (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	55.20	47.33	47.28	47.28
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	55.20	47.33	47.28	47.28

Planned Evaluations: N/A

Contributions for First Nations and Inuit Health Governance and Infrastructure Support (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for First Nations and Inuit Health Governance and Infrastructure Support (Voted)

Start Date: April 2005

End Date: March 2010

Description: Governance and Infrastructure Support to the First Nations and Inuit Health System

Expected Results: Improved health status of First Nations and Inuit through strengthened governance and infrastructure

Contributions for First Nations and Inuit Health Governance and Infrastructure Support (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	196.85	216.20	166.88	159.66
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	196.85	216.20	166.88	159.66

Planned Evaluations: N/A

Contributions for First Nations and Inuit Health Protection (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for First Nations and Inuit Health Protection (Voted)

Start Date: April 2005

End Date: March 2010

Description: Communicable Disease and Environmental Health and Research programs facilitate preparedness to implement measures in the control, management and containment of outbreaks of preventable diseases and improve management and control of environmental hazards

Expected Results: Environmental health risk management contributes to improve the health status of First Nations individuals, families and communities and improve access to quality, well-coordinated communicable disease prevention and control programs for First Nations and Inuit individuals, families, and communities

Contributions for First Nations and Inuit Health Protection (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	18.05	18.62	12.54	11.22
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	18.05	18.62	12.54	11.22

Planned Evaluations: Communicable Disease Control Cluster Evaluation is underway. The final evaluation report is expected in September 2009

Contributions for First Nations and Inuit Primary Health Care (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions for First Nations and Inuit Primary Health Care (Voted)

Start Date: April 2005

End Date: March 2010

Description: Primary Health Care services include emergency and acute care health services, and community primary health care services which include illness and injury prevention and health promotion activities. These programs also include: the First Nations and Inuit Home and Community Care; and the Oral Health Strategy

Expected Results: Improved access to quality well-coordinated culturally appropriate primary health care programs and services for First Nations and Inuit individuals, families and communities

Contributions for First Nations and Inuit Primary Health Care (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	121.83	124.10	125.46	125.46
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	121.83	124.10	125.46	125.46

Planned Evaluations: N/A

Contributions to the Organization for the Advancement of Aboriginal People's Health (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contributions to the Organization for the Advancement of Aboriginal People's Health (Voted)

Start Date: April 2005

End Date: March 2010

Description: To support the Organization for the Advancement of Aboriginal People's Health

Expected Results: Continued empowerment of Aboriginal peoples through advancements in knowledge and sharing of knowledge on Aboriginal health

Contributions to the Organization for the Advancement of Aboriginal People's Health (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.0	0.0	0.0	0.0
Total Contributions:	5.0	5.0	5.0	5.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	5.0	5.0	5.0	5.0

Planned Evaluations: N/A

Grant for the Territorial Health Access Fund and Operational Secretariat (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Grant for the Territorial Health Access Fund and Operational Secretariat (Voted)

Start Date: April 2005

End Date: March 2010

Description: Grant for the territorial Health Access Fund and Operational Secretariat

Expected Results: Strengthened, integrated sustainable health promotion and illness prevention strategies; enhanced alcohol and drug services, programs, and treatment options; improved public health services and emergency preparedness and response measures and oral health; reduced frequency of acute care facilities utilization; enhanced application of e-health and tele-health solutions; increased out-reach services to outlying communities; improved health professional recruitment and retention strategies; improved access to specialized physician and diagnostic services; supported territorial-based education and training for health professionals and para-professionals; improved in-territory services to population groups with special needs; and enhanced medical travel information collection and collation capacity

Grant for the Territorial Health Access Fund and Operational Secretariat (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10
Total Grants:	15.0	15.0
Total Contributions:	0.0	0.0
Total other types of transfer payments:	0.0	0.0
Total Transfer Payments:	15.0	15.0

Planned Evaluations:N/A

Grant for the Territorial Medical Travel Fund (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Grant for the Territorial Medical Travel Fund (Voted)

Start Date: April 2005

End Date: March 2010

Description: To support the medical travel fund

Expected Results: Address the significant and immediate pressures facing the Yukon, Northwest Territories and Nunavut (the territories) in the area of medical travel expenditures offset a portion of the territories' medical travel costs; and enable the territories to redirect resources to alternative sustainable health reform initiatives

Grant for the Territorial Medical Travel Fund (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10
Total Grants:	15.0	15.0
Total Contributions:	0.0	0.0
Total other types of transfer payments:	0.0	0.0
Total Transfer Payments:	15.0	15.0

Planned Evaluations:N/A

First Nations and Inuit Health Services Transfer (Voted)

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: First Nations and Inuit Health Services Transfer (Voted)

Start Date: April 2007

End Date: March 2012

Description: To increase responsibility and control by Indian communities of their own health care and to effect improvement in the health conditions of Indian people

Expected Results: Increased control or accountability by First Nations communities of health care services

First Nations and Inuit Health Services Transfer (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	233.97	243.65	251.16	250.98
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	233.97	243.65	251.16	250.98

Planned Evaluations: N/A

Contribution for the Indian Residential Schools Resolution Health Program

Strategic Outcome: Better health outcomes and reduction of health inequalities between First Nations and Inuit and other Canadians.

Program Activity: First Nations and Inuit Health Programming and Services

Name of Transfer Payment Program: Contribution for the Indian Residential Schools Resolution Health Program

Start Date: November 2006

End Date: March 2013

Description: to support the mental wellness of former IRS students, their families and communities, by providing: resolution health support services, delivered by Resolution Health Support Workers; Elder support; support during truth and reconciliation and commemoration events; research and communication activities in support of the mental wellness of former IRS students, and an overall increased awareness of and demand for mental health services available to former IRS students and their families during the resolution process

Expected Results: providing services which are sensitive to cultural and traditional Aboriginal practices, ultimately improving emotional and mental wellness of former IRS students as well as reducing the risk of crises and preventable death

Contribution for the Indian Residential Schools Resolution Health Program
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.0	0.0	0.0	0.0
Total Contributions:	18.2	7.2	5.4	5.4
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	18.2	7.2	5.4	5.4

Planned Evaluations:N/A

Grant to the Canadian Agency for Drugs and Technology in Health (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Grant to the Canadian Agency for Drugs and Technology in Health (Voted)

Start Date: April 1, 2008

End Date: March 31, 2013

Description: The Canadian Agency for Drugs and Technologies in Health (CADTH) is an independent, not-for-profit agency funded by Canadian federal, provincial, and territorial governments to provide credible, impartial advice and evidence-based information about the effectiveness of drugs and other health technologies to Canadian health care decision makers

Expected Results: The purpose of the Named Grant is to provide financial assistance to support CADTH's core business activities, namely, the Common Drug Review (CDR), Health Technology Assessment (HTA), and the Canadian Optimal Medication Prescribing and Utilization Service (COMPUS). improved information available to decision-makers about the adoption and appropriate utilization of the most relevant and cost-effective health technologies; increased relevance and uptake of Canadian health technology assessment products and services, produced by CADTH and its partners to meet jurisdictional needs; guidance through the Canadian Expert Drug Advisory Committee to participating jurisdictions (all except QC) on whether, and under what conditions, to publicly reimburse drugs; and continued identification and promotion of evidence-based, clinical and cost-effectiveness information on optimal drug prescribing and use

Grant to the Canadian Agency for Drugs and Technology in Health (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	16.9	16.9	16.9	16.9
Total Contributions:	0.0	0.0	0.0	0.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	16.9	16.9	16.9	16.9

Planned Evaluations: A requirement of Health Canada's funding agreement with CADTH is that an independent, comprehensive evaluation of the overall program is to be conducted approximately one year prior to the end of the agreement (March 31, 2013).

Health Care Policy Contribution Program (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Health Care Policy Contribution Program (Voted)

Start Date: September 2002

End Date: March 31, 2013

Description: To support the federal government's interests in achieving an accessible, high quality, sustainable and accountable health system adaptable to the needs of Canadians. The contribution program will support efforts to stimulate and facilitate health care policy analysis and development to advance strategic thinking and policy options in priority areas. Current priorities include, but are not limited to: health human resources, patient wait times and autism. A summative evaluation will be completed no later than March 2012 to assess the success of and continuing need for the Program

Expected Results: reports, consultations, research and evaluation; educational models/tools and resources for health providers, health system managers and decision makers; innovative models for funding and delivery; innovative collaborations and/or coalitions; case studies and best practices; policy research documents; environmental scans, system and technology assessments; and increased evidence and knowledge base for decision-making in health care

Health Care Policy Contribution Program (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	41.80	46.05	32.71	32.71
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	41.80	46.05	32.71	32.71

Planned Evaluations: A mid-term review of the Program will be undertaken to later than March 2010 to examine and provide a status report on the implementation of the action items outlined in the 2007 Management Action

Named Grant to the Canadian Patient Safety Institute (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Named Grant to the Canadian Patient Safety Institute (Voted)

Start Date: September 2002

End Date: March 31, 2013

Description: The Named Grant to the Canadian Patient Safety Institute (CPSI) supports the federal government's interest (in an F/P/T partnership context) in achieving an accessible, high quality, sustainable and accountable health system adaptable to the needs of Canadians. It is designed to improve the quality of health care services by providing a leadership role in building a culture of patient safety and quality improvement in the Canadian health care system through coordination across sectors, promotion of best practices, and advice on effective strategies to improve patient safety The first five-year Funding Agreement with CPSI ended on March 31, 2008, and was renewed for an additional five years, starting April 1, 2008 and ending March 31, 2013. Health Canada has ongoing funding authority of up to $8 million per year for the CPSI Named Grant

Expected Results:CPSI will: provide advice to governments, stakeholders and the public on effective strategies to improve patient safety; perform a coordinating role across sectors and systems; promote best practices related to patient safety; and raise awareness of patient safety issues with patients and the general public through public education and reporting

Named Grant to the Canadian Patient Safety Institute (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	8.0	8.0	8.0	8.0
Total Contributions:	0.0	0.0	0.0	0.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	8.0	8.0	8.0	8.0

Planned Evaluations: The CPSI carried out an initial evaluation mid-way into its first five-year term (between October 2006 and January 2007). The CPSI will complete an independent evaluation during Fiscal Year 2011-2012 that is consistent with the performance measurement framework outlined in the Funding Agreement

Grant to the Canadian Partnership Against Cancer Corporation (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program:Grant to the Canadian Partnership Against Cancer Corporation (Voted)

Start Date: April 1, 2007

End Date: March 31, 2012

Description: The Canadian Strategy for Cancer Control (CSCC) is a five-year plan with the following objectives: (1) to reduce the expected number of new cases of cancer among Canadians; (2) to enhance the quality of life of those living with cancer; and (3) to lessen the likelihood of Canadians dying from cancer. Health Canada is the federal liaison with the Canadian Partnership Against Cancer, the not-for-profit organization responsible for the implementation of the CSCC, and is responsible for managing the five-year $250 million grant agreement with the corporation

Expected Results: the Partnership will become a leader in cancer control through knowledge management and the coordination of efforts among the provinces and territories, cancer experts, stakeholder groups, and Aboriginal organizations to champion change, improve health outcomes related to cancer, and leverage existing investments; and a coordinated, knowledge-centred approach to cancer control is expected to significantly reduce the economic burden of cancer, alleviate current pressures on the health care system, and bring together information for all Canadians, no matter where they live

Grant to the Canadian Partnership Against Cancer Corporation (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	42.0	57.5	55.0	55.0
Total Contributions:	0.0	0.0	0.0	0.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	42.0	57.5	55.0	55.0

Planned Evaluations: The Canadian Partnership Against Cancer Corporation will conduct an independent evaluation with respect to its achievements. This evaluation will be available no later than April 30, 2009. Health Canada will also conduct an evaluation in 2009-10 to assess whether the Canadian Partnership Against Cancer has advanced the public health objective for cancer control in Canada

Grant to the Health Council of Canada (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Named Grant to the Health Council of Canada (Voted)

Start Date: April 1, 2004

End Date: March 31, 2008

Description: The Health Council of Canada (the Council) was established out of the 2003 First Ministers' Accord on Health Care Renewal to monitor and make annual public reports on the implementation of the Accord. In the 2004 Health Accord, First Ministers extended the role of the Council to report on the health status of Canadians and health outcomes. Specifically, the Council has four primary roles: (1) monitoring and public reporting on health care renewal; (2) monitoring and analyzing health care renewal, barriers and health outcomes; (3) highlighting innovation; and (4) engaging Canadians.

The Health Council is governed by its Corporate Members (F/P/T Ministers of Health except those of Québec and Alberta) and up to 27 governmental and non-governmental Councillors

Expected Results: Through monitoring and annual public reporting on the progress achieved in implementing the 2003 First Ministers' Accord and the 2004 Health Accord, the Council contributes to enhancing accountability and transparency in health system care reform

Grant to the Health Council of Canada (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	5.3	10.0	10.0	10.0
Total Contributions:	0.0	0.0	0.0	0.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	5.3	10.0	10.0	10.0

Planned Evaluations: The Corporate Members of the Council are undertaking a review of the Council's scope, mandate, role, objectives, effectiveness and continued relevance, as required by the Council's by-laws in the fourth year of each five-year mandate. Following the review, the Corporate Members will decide the future direction of the Council

Grant to the Canadian Institutes for Health Information (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity:Canadian Health System

Name of Transfer Payment Program:Grant to the Canadian Institutes for Health Information (Voted)

Start Date:April 1, 1999

Grant to the Canadian Institutes for Health Information (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	78.26	81.746	81.746	81.746
Total Contributions:	0.00	0.00	0.00	0.00
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	78.26	81.746	81.746	81.746

Grant to support the Mental Health Commission of Canada (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Grant to support the Mental Health Commission of Canada (Voted)

Start Date:April 1, 2007

End Date:March 31, 2017

Description:In Budget 2007, the federal government committed $130M over 10 years to establish the national Mental Health Commission of Canada, an arm's length, not-for profit organization designed to improve health and social outcomes for people and their families living with mental illness.

Expected Results: Over the course of this grant, the Commission is expected to develop a national mental health strategy, a knowledge exchange centre, and undertake anti-stigma public awareness and educational initiatives.

Grant to support the Mental Health Commission of Canada (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	7.50	12.0	15.0	15.0
Total Contributions:	0.00	0.00	0.00	0.00
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	7.50	12.0	15.0	15.0

Planned Evaluations: The Mental Health Commission of Canada is required to produce an annual business plan that reports on progress made on mandated activities, and includes performance measures, a communication plan, and an environmental scan.

Grant/Contribution in Support of the Federal Tobacco Control Strategy (Voted)

Strategic Outcome: Reduced health and environmental risks from products and substances, and safer living and working environments

Program Activity: Substance Use and Abuse

Name of Transfer Payment Program: Grant/Contribution in Support of the Federal Tobacco Control Strategy (Voted)

Start Date: April 1, 2001

End Date: March 31, 2011

Description: A transfer payment program in support of the Federal Tobacco Control Strategy designed to develop and test tobacco cessation and prevention techniques and approaches and to transfer this knowledge to stakeholders with the intention of changing behaviour. Contributions are provided to support the provinces and territories as well as key national and regional non-governmental organizations and others in order to help build a strong knowledge base and ongoing capacity for developing effective tobacco prevention and cessation interventions. The grant portion of the program is designed to support international tobacco control efforts.

Expected Results: Supporting the attainment of a smoking prevalence rate in Canada of 12% by 2011 by: contributing to a reduction in smoking uptake among Canadian youth; contributing to the number of Canadians who quit smoking; contributing to the reduction in the number of Canadians exposed to second-hand smoke; increasing capacity in research and regulations; and contributing to the global implementation of the World Health Organization's Framework Convention on Tobacco Control

Grant/Contribution in Support of the Federal Tobacco Control Strategy (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.50	0.50	0.50	0.50
Total Contributions:	13.96	15.76	15.76	15.76
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	14.46	16.26	16.26	16.26

Planned Evaluations: Summative evaluation of program including Grants and Contributions in 2010-11

Contribution to the Drug Treatment Funding Program (Voted)

Strategic Outcome: Reduced health and environmental risks from products and substances, and healthy, sustainable living and working environments

Program Activity: Substance use and abuse

Name of Transfer Payment Program: Contribution to the Drug Treatment Funding Program (Voted)

Start Date: April 1, 2007

End Date: March 31, 2012

Description: The aim of the Drug Treatment Funding Program (DTFP) will be to provide the incentive (seed funding) for provinces, territories and key stakeholders to initiate projects that will lay the foundation for systemic change (reoriented ADTR funds) leading to sustainable improvement in the quality and organization of substance abuse treatment systems. At the same time that provincial and territorial governments are working to achieve these system-level efficiencies, five-year time limited funding (new funds) will be available for the delivery of treatment services to meet the critical illicit drug treatment needs of at-risk youth in high needs areas.

Expected Results: enhanced collaboration on responses to DTFP treatment systems issues within and among jurisdictions; enhanced P/T commitments to effect system change in DTFP treatment system investment areas; increased understanding of effective treatment systems' performance; increased access to evidence-informed practice information; increased P/T capacity to evaluate substance abuse treatment systems' performance; and increased access to treatment services for at-risk youth and for those living in Vancouver's Downtown Eastside

Contribution to the Drug Treatment Funding Program (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	10.16	26.03	31.23	34.34
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	10.16	26.03	31.23	34.34

Planned Evaluations: A Program level Performance Management and Evaluation Plan has been developed in collaboration with provinces and territories. An interim evaluation will be conducted by Health Canada in 2009-10. This interim evaluation will focus on DTFP program design and implementation progress and preliminary results. A final evaluation will be conducted in 2011-12

Contributions for the Drug Strategy Community Initiatives Fund (Voted)

Strategic Outcome: Reduced health and environmental risks from products and substances, and health, sustainable living and working environments

Program Activity: Substance use and abuse

Name of Transfer Payment Program: Contributions for the Drug Strategy Community Initiatives Fund (Voted)

Start Date: April, 2005

End Date: March 2010

Description: The Drug Strategy Community Initiatives Fund (DSCIF) managed by Health Canada, provides support for Health Promotion and Prevention projects related to substance use and abuse. The DSCIF contributes to the achievement of the National Anti-Drug Strategy through the provision of financial assistance for initiatives that address a broad range of illicit drug use issues and the underlying factors associated with illicit drug use

Expected Results: a Call for Proposals for projects commencing in 2008-09 in line with the refocused Program under the National Anti-Drug Strategy (NADS); funding of a major strategic initiative under the NADS, entitled "A Drug Prevention Strategy for Canada's Youth"; and collaboration with the National Crime Prevention Centre on joint initiatives related to illicit drug use and drug-related crime

Contributions for the Drug Strategy Community Initiatives Fund (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.00	0.00	0.00	0.00
Total Contributions:	10.30	11.52	14.52	11.52
Total other types of transfer payments:	0.00	0.00	0.00	0.00
Total Transfer Payments:	10.30	11.52	14.52	11.52

Planned Evaluations: A DSCIF evaluation is underway which includes case studies and validation of refocused DSCIF performance evaluation framework. This work will feed into the renewal of the Program's Terms and Conditions in 2009-10

Contribution Program to Improve Access to Health Services for Official Language Minority Communities (Voted)

Strategic Outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program Activity: Canadian Health System

Name of Transfer Payment Program: Contribution Program to Improve Access to Health Services for Official Language Minority Communities (Voted)

Start Date: June 2003

End Date: March 2009

Description: The Contribution Program to Improve Access to Health Services for Official Language Minority Communities was launched in June 2003, following the 2003 federal budget and The Action Plan for Official Languages. The Program was approved for a five-year period (2003-04 to 2007-08) with a total budget of $89 million, and with ongoing annual funding of $23 million thereafter. The Program is managed by the Official Language Community Development Bureau, and provides funding to French-speaking and English-speaking official language minority communities in Canada under two areas: (1) Networking Support and (2) Support for Training and Retention of Health Professionals.

The Networking Support component provides funds for the establishment and sustainability of networks that will mobilize the capacities of institutions, health professionals and communities to encourage health stakeholders to deliver services in the official language of their choice; foster the development of solid, durable links between health sector stakeholders; mitigate the geographic dispersal of communities; and promote greater community engagement. These networks will facilitate information-sharing and resource development, which will lead to new ways of improving access to health services for official language minority communities.

Funding provided to Francophone minority communities under the Support for Training and Retention of Health Professionals component is meant to increase the number of practising Francophone health professionals in minority communities through improved access to available programs and the extension of such training across the country via participating educational institutions. This also includes media-based and distance training, and capacity-building within institutions that offer training to health professionals within Francophone minority communities.

The funds directed to support the training and retention of health professionals in Anglophone minority communities will promote professional training and language training in the official language of minority communities, particularly in the regions of Quebec. It will also support regional incentive measures for the recruitment and retention of health professionals, to encourage them to move to the regions or remain there.

In July 2007, the Minister of Health approved a one-year extension of the Contribution Program for 2008-09. This one-year transition period will allow current initiatives to continue while work is undertaken to renew the Program in the context of a new federal Action Plan on official languages.

Expected Results: increased satisfaction of Canadians in official language minority communities; improved access to health services in Canadians' language of choice; and improved health of Canadians in official language minority communities.

Specific Results by Program Component:

1) Networking Support component:

increased interaction and engagement between health partners and community members within official language minority communities.
improved use of existing resources and sharing of best practices;
implementation of information-exchange mechanisms between health partners and official language minority community members; and
increased commitment by health partners to improve health care services.

2) Support for Training and Retention of Health Professionals component:

increased capacity for training of health professionals within official language minority communities;
increased number of Francophone students enrolled in health professional training programs outside Quebec;
increased number of health professionals to meet the needs of official language minority communities;
improved quality and quantity of information on health care needs; and
improved quality and quantity of health care services available to official language minority communities.

Contribution Program to Improve Access to Health Services for Official Language Minority Communities (Voted)
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.0	0.0	0.0	0.0
Total Contributions:	23.0	34.0	36.7	38.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	23.0	34.0	36.7	38.0

Planned Evaluations: The formative (mid-term) evaluation was approved by the Departmental Executive Committee - Finance, Evaluation and Accountability (DEC-FEA) on December 20, 2007. The summative (final) evaluation was approved by the Senior Management Board - Finance, Evaluation and Accountabilities sub-committee on November 12, 2008.

Assessed Contribution to the Pan American Health Organization

Strategic Outcome: Accessible and Sustainable Health Systems Responsive to the Health Needs of the Canadian Population

Program Activity:International Health Affairs

Name of Transfer Payment Program: Assessed Contribution to the Pan American Health Organization

Start Date: July 2008

End Date: March 2013

Description: Payment of Canada's annual membership fees to the Pan American Health Organization (PAHO).

Expected Results: Canada's participation in PAHO promotes results aimed at improving and protecting the health of Canadians, enhancing global health security, and supporting global health efforts through the exchange of best practices, lessons learned and the provision of technical expertise in strengthening health systems and in building capacity. PAHO has an effective disease surveillance system at the country level which is used extensively to provide an early warning system for Canadian tourists and businesses in Latin America and the Caribbean. This infrastructure is essential to Canada's interests in being better prepared to respond to emerging and re-emerging infectious diseases.

Canada's influence and interests in the Americas region with respect to good governance, transparency and accountability are also advanced through our membership in PAHO, which provides a forum for the wider dissemination of Canadian-based values related to health and the provision of health-care, amongst others. Canada's membership in this multilateral organization also aligns with the Government of Canada's foreign policy objectives for the Americas which seek to strengthen our bilateral and multilateral relations in the region.

Assessed Contribution to the Pan American Health Organization
Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	0.0	0.0	0.0	0.0
Total Contributions:	12.5	12.5	12.5	12.5
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	12.5	12.5	12.5	12.5

Planned Evaluations: The International Health Grants Prgoram calls for a mid-point review to be completed by March 31, 2010, and for a summative evaluation to be completed by december 2012. In addition, Health Canada regularly attends the three annual PAHO Governing Body meetings, the results of which are fully documented and widely disseminated to relevant Government of Canada Departments, Agencies and stakeholders.

Access to Safe and Effective Health Products and Food Information for Health Choices

Strategic Outcome: Access to Safe and Effective Health Products and Food and Information for Healthy Choices

Program Activity: Access to Safe and Effective Health Products and Food and Information for Healthy Choices

Name of Transfer Payment Program: Grant to the Canadian Blood Services (Voted)

Start Date: April 2000

End Date: Ongoing

Description: To support basic, applied and clinical research on blood safety and effectiveness issues through the auspices of Canadian Blood Services

Expected Results: Continued improvements to basic applied and clinical research on blood safety and effectiveness

Program Activity (millions of dollars)	Forecast Spending 2008-09	Planned Spending 2009-10	Planned Spending 2010-11	Planned Spending 2011-12
Total Grants:	5.0	5.0	5.0	5.0
Total Contributions:	0.0	0.0	0.0	0.0
Total other types of transfer payments:	0.0	0.0	0.0	0.0
Total Transfer Payments:	5.0	5.0	5.0	5.0

Planned Evaluations: N/A

Up-Front Multi-Year Funding

Grant to the Canadian Institute for Health Information

Strategic outcome: Accessible and sustainable health system responsive to the health needs of Canadians.

Program activity: Canadian Health System

Name of recipient: Canadian Institute for Health Information (CIHI)

Start date: April 1, 2007

End date: March 31, 2012

Description: CIHI is an independent, not-for-profit organization supported by federal, provincial and territorial (F/P/T) governments that provides essential data and analysis on Canada's health system and the health of Canadians. CIHI was created in 1991 by the F/P/T Ministers of Health toaddress significant gaps in health information. CIHI's data and its reports inform health policies, support the effective delivery of health services and raise awareness among Canadians about the factors that contribute to good health.

Since 1999, the federal government has provided funding to CIHI through a series of grants and conditional grants, known as the Roadmap Initiative. More recently CIHI's funding has been consolidated through the Health Information Initiative.

Through the past Roadmap Initiatives I, II and II Plus, CIHI had been provided with about $260 million since 1999. Budget 2005 allocated an additional $110 million over five years (2005-06 to 2009-10) to CIHI through Roadmap III. This has allowed CIHI to provide quality and timely health information, including the delivery of data on a variety of important health indicators and other health publications to support health sector decision-making and improve accountability.

Beginning as of 2007-08, the Health Information Initiative provides conditional grant funding to CIHI, replacing the previous Roadmap II, II Plus, III funding and also provides additional funds for new initiatives. This funding will allow CIHI to continue important work under the Roadmap Initiative and to further enhance the coverage of health data systems so Canadians get information on their health care system, including information on wait times, and continued development of comparable health indicators. The funding will also enable CIHI to respond effectively to emerging priorities. Under this initiative, up to $406.49 million will be delivered to CIHI over five years (2007-08 to 2011-12).

Program Activity
Total Funding: (in millions)	Prior Years' Funding: (in millions)	Planned Funding 2009-10: (in millions)	Planned Funding 2011-12: (in millions)	Planned Funding 2011-12: (in millions)
406.49	161.25	81.75	81.75	81.75

Summary of annual plans of recipient: As per CIHI's funding agreement with Health Canada, the draft 2009-10 Operational Plan and Budget is to be provided to Health Canada by the end of January 2009. At the March 2009 meeting, the document will be brought forward to the Board for review and approval and subsequently submitted to the Minister of Health. The following are Management's proposed key priorities for the upcoming fiscal year:

More and Better Data

Increase jurisdictional uptake of select reporting systems, with a particular focus on Home and Continuing Care (including long-term care), and pharmaceuticals (NPDUIS)
Enhance and expand existing reporting systems such as ambulatory care to provide more flexible and timely approach to collecting ambulatory and emergency care data
Explore new potential data sources to address data gaps in the areas of primary health care and community mental health
Improving financial data by enhancing the Canadian MIS Database (CMDB) and initiating the development of a patient-specific cost
Database Improve our collection of patient safety data by launching the Canadian Medication Incident Reporting and Prevention System (CMIRPS)
Continue to play a leadership role on the promotion of data standards, with particular attention to data standards related to the EHR

More and Better Analysis

Continue expansion/development of indicators to report on quality/access of care, patient safety, public/population health, system efficiency across health sectors
Explore and initiate development of pan-Canadian hospital
Report Develop enhanced infrastructure to support data linkage across select data holdings in a privacy-sensitive manner
Continue implementation of Long Range Analytical Plan and implement rapid response analysis service

Improved Understanding and Uses

Develop an organizational strategy and plan for improved understanding and use to guide the development and implementation of priority initiatives
Continue work on the redevelopment of CIHl's website to make it more user-friendly for our stakeholders
Continue to develop new e-reporting tools to allow improved access, customization and timeliness of reports
Accelerate development of ClHl Portal to provide more data in select areas (e.g. MIS, ambulatory care) and support continued adoption and uptake
Increase organization's flexibility and responsiveness to address local/regional needs, through the appropriate mix of analytic products and services, educational offerings, workshops and conferences

In order to support priority initiatives along our three strategic themes, a sound corporate infrastructure is required. As a result, ClHl will continue to focus on enhancing its corporate processes, IT systems applications and electronic tools

Planned evaluations: Third-party evaluations of Roadmap I and of Roadmaps II, II+ and HICP were conducted and CIHI was found to have met its objectives under the associated funding agreements. Under the HII funding agreement, an evaluation framework of HII activities, including prior Roadmap III activities, must be completed by September 30, 2009. The final evaluation is due to the Minister by September 30, 2010

Planned audits: An audit was conducted by Health Canada internal auditors on the Health Information Contribution Program. Auditors concluded that, in general, the internal controls in place at CIHI to managed the Contribution Agreement were sufficient to meet the terms and conditions of the Agreement with minor exceptions. Risk exposure was not serious

URL of recipient site : http://secure.cihi.ca/cihiweb/splash.html

Canada Health Infoway

Strategic outcome: Accessible and sustainable health system responsive to the health needs of Canadians.

Program activity: Canadian Health System

Name of recipient: Canada Health Infoway (Infoway)

Start date: March 31, 2003*

* Infoway's original allocation (2001) was governed by a Memorandum of Understanding. Infoway is presently accountable for the provisions of three active funding agreements, signed in: March 2003 (encompasses 2001 and 2003 allocations), March 2004, and March 2007. The first three allocations (totalling $1.2B) were provided as lump sums, whereas the 2007 allocation ($400M) is subject to new conditions; these funds flow to Infoway on an as-needed basis.

End date: March 31, 2012**

**As per the 2007 funding agreement, in the event that any portion of the funding remains unspent and uncommitted by April 1, 2012, Infoway may use this amount in its sole discretion as long as the purpose of this use is consistent with the objects in Infoway's Letters Patent.

Description: Infoway is a federally funded, independent, not-for-profit corporation with a mandate to foster and accelerate the development and adoption of electronic health information and communication technologies with compatible standards on a pan-Canadian basis.

Funding has been allocated to Infoway on four occasions: $500 million in 2001 in support of the September 2000 First Ministers' Action Plan for Health System Renewal to strengthen a Canada-wide health infostructure (with the electronic health record - EHR - as a priority); $600 million in the First Ministers' Health Accord of February 2003, to accelerate implementation of the EHR and Telehealth; $100 million as part of Budget 2004 to support the development of a pan-Canadian health surveillance system; and $400 million as a part of Budget 2007 to support continued work on EHRs and wait times reductions.

It is anticipated that Infoway's collaborative approach, where the federal, provincial and territorial governments participate toward a common goal of modernizing Canada's health information system, will reduce costs through the coordination of effort and avoidance of duplication. It is further anticipated that eHealth technologies will significantly improve access to health care services, patient safety, quality of care and productivity.

Program Activity
Total Funding: (in millions)	Prior Years' Funding: (in millions)	Planned Funding 2009-10: (in millions)	Planned Funding 2011-12: (in millions)	Planned Funding 2011-12: (in millions)
1,600.0	1,361.73	To be determined***	To be determined***	To be determined***

***As per the 2007 funding agreement, funds are to be disbursed according to the annual cash flow requirements identified by Infoway. These requirements are to be submitted to the Department within thirty days of each new fiscal year. Infoway has not yet provided an advance estimate of its 2009-10 to 2011-12 requirements.

Summary of annual plans of recipient: Infoway's overarching goal is that: "By 2010, 50% of Canadians and by 2016, 100% of Canadians will have their electronic health record available to their authorized health professionals".

In its 2008-09 Corporate Business Plan, Paving the Way to Collaborative Care, Infoway indicated the following action plans, which will continue into 2009-10 and build upon Infoway's existing business strategies:

Participation in Healthcare Renewal: Infoway will continue to support national, jurisdictional and local initiatives to strengthen health care in Canada through a focus on improving patient safety and access. Infoway will also continue to engage with stakeholders on issues such as heart health, cancer, mental health, primary health care, and health indicators and reporting.
Collaboration with Partners: Infoway will continue to work with public and private sector partners to implement the pan-Canadian health infostructure. This will include: developing a strategy to implement its Vision 2015 (for a robust and comprehensive eHealth system); actively engaging stakeholders to discuss EHR challenges and opportunities and to identify opportunities to collaborate; working with P/Ts to align their three-year plans with Infoway investments; and communicating with vendors.
Targeting the Investments: As of March 31, 2008, Infoway had approved over $1.5 billion to support more than 250 projects across the country. Infoway will continue to accelerate investment in, and replication of solutions that support health system transformation and innovation. Infoway intends to deliver $100-120 million in new project approvals by the end of March 2009.
Supporting Solution Deployment: Infoway will continue to provide expertise to support its partners as they successfully implement secure eHealth solutions and will monitor projects to ensure cost and risk are well-managed. This will include: standards development, national solutions (such as pricing agreements), and collaboration with jurisdictions to focus on privacy solutions.
Promoting Solution Adoption and Benefits Realization: Infoway will continue to enhance its change management services, collaborate with P/Ts and health providers on knowledge dissemination, implement eHealth support networks, and evaluate and communicate benefits. This year Infoway will also communicate results from Innovation projects launched over the past three years.

Planned evaluations: Infoway will continue to work with jurisdictional and research partners to conduct electronic health records benefits evaluations. During fiscal year 2008-09, Infoway will also have an external firm carry out an evaluation of its overall performance in achieving the outcomes identified in section 4.2 of the Addendum Agreement governing the pan-Canadian Health Surveillance System.

Planned audits: An audit by Health Canada's Audit and Accountability Bureau, Chief Financial Officer Branch, began in December 2007. This audit had both an internal (Health Canada) and an external component, for which interviews with Infoway officials were conducted. The audit is intended to provide the Deputy Minister with assurances that an appropriate Management Control Framework is in place within the Strategic Policy Branch and Infoway for the monitoring and administration of Transfer Payment funds; and that Infoway is using funds in compliance with the terms and conditions of the funding agreements. It is expected that this audit will be complete before March 31, 2009.

During fiscal year 2008-09, Infoway's regular annual financial and compliance audits will be carried out by independent audit firms.

The Auditor General is undertaking an audit of the implementation of electronic health records and is expected to table its report in November 2009.

URL of recipient site: www.infoway-inforoute.ca

Canadian Health Services Research Foundation

Strategic outcome: Accessible and sustainable health system responsive to the health needs of Canadians

Program activity: Canadian health system

Name of recipient: Canadian Health Services Research Foundation (CHSRF)

Start date: 1996-97

End date: N/A

Description: At the time of its establishment (1996-97), CHSRF received a $66.5 million endowment. In addition, it received additional federal grants for the following purposes:

1999: $25 million to support a ten-year program to develop capacity for research on nursing recruitment, retention, management, leadership and the issues emerging from health system restructuring (Nursing Research Fund or NRF)
1999: $35 million to support the CHSRF's participation in the Canadian Institutes of Health Research (CIHR)
2003: $25 million to develop a program to equip health system managers and their organizations with the skills to find, assess, interpret and use research to better manage the Canadian health care system (Executive Training for Research Application or EXTRA) over a thirteen-year period.

It should be noted that CHSRF's programs receive funding from other sources through various partnerships.

CHSRF will implement new strategic priorities in 2009 as a result of its Board of Trustee's endorsement, in December 2008, of a new strategic plan 'CHSRF Strategic Directions 2009-13' which included the following revised role and mission:

CHSRF works to improve the health of Canadians by:

Capturing the best evidence about how healthcare and other services can do more to improve the health of Canadians;
Filling gaps in evidence about how to improve the health of Canadians, by funding research; and
Supporting policymakers and managers to develop the skills needed to apply the best evidence about services to improve the health of Canadians.

The Foundation's work contributes to Health Canada's aim of strengthening the knowledge base to address health and health care priorities.

Program Activity
Total Funding: (in millions)	Prior Years' Funding: (in millions)	Planned Funding 2009-10: (in millions)	Planned Funding 2011-12: (in millions)	Planned Funding 2011-12: (in millions)
151.5	1996 - 66.5 1999 - 60 2003 - 25	N/A	N/A	N/A

Summary of annual plans of recipient: The CHSRF's 2009 budget provides for $15. 3 million in total program expenditures for the Foundation's strategic priorities. The new strategic plan identifies three strategic priorities that the Foundation will pursue over the next five years:

Strategic Priority 1: Engaging Citizens

The CHSRF and its partners will undertake programming which will:

Assist healthcare organizations and providers to do a better job of engaging the public, including exploring ways to report effectively to the public about healthcare quality.
Help healthcare providers access and apply information about the patient experience, particularly in primary healthcare.
Connect citizens, via web-based strategies, with information about what they should expect from their interactions with healthcare systems.
Invest strategically in implementing and evaluating community-based initiatives designed to improve health.

Strategic Priority 2: Accelerating Change

The CHSRF and its partners will undertake programming which will:

Fund research that provides a better understanding of the processes of change and learning within innovative Canadian health organizations, and that identifies lessons learned about overcoming major barriers and catalysts for change.
Provide a national resource centre to support local change initiatives, which will include linkages to expertise in operations research and evaluation.
Support communities of practice that allow for better sharing of information among organizations and providers.
Lead a series of organizational learning initiatives that bring organizations together to focus on some of the most persistent problems in Canadian healthcare, supported by research, evaluation expertise, and best practice.
Continue to invest in building the capacity of senior managers to understand and apply research evidence in their work, by capitalizing on the success of the Executive Training for Research Application (EXTRA) program.

Strategic Priority 3: Promoting Policy Dialogue

The CHSRF and its partners will undertake programming which will:

Provide formal and informal opportunities for sharing policy challenges and emerging strategies across Canada's provincial health systems.
Actively promote the social and economic benefits of investment in health services research and its application in Canada.
Work with the research community to ensure that credible, relevant and helpful commentary is available to the news media on emerging health issues.

CHSRF will continue to enroll 24 senior fellows annually in the two-year EXTRA training program designed to achieve: knowledge of research evidence; capacity to draw on system thinking; development of collaborative professional relationships; and the ability to introduce and manage evidence-based change. The admission criteria allows up to four additional fellows from government ministries or departments on a self-funded basis, with the organization providing funds to cover the marginal cost of adding these fellows to the cohort. EXTRA aims to equip health service professionals and their organizations with the skills to find, assess, interpret and use research to better manage the Canadian health care system.

The NRF normally supports research personnel, research dissemination, and research projects on nursing management, organization, and policy at a level of $2.5 million per year. The aim is to create high quality new knowledge; increase knowledge exchange between researchers and decision makers; and increase the capacity for evidence-based decisions. The NRF is due to wind down in 2009.

Planned evaluations:

Teamwork Workshop Evaluation

CHSRF's Evaluation of the December 2008 teamwork workshop and follow-up activities will continue during 2009 and be completed in 2010.

Knowledge Brokering Evaluation

A summative evaluation of the knowledge brokering initiative will be conducted by CHSRF in 2009 and presented to our wider community.

Extra Program Evaluation

The Foundation conducts an annual evaluation of the EXTRA program. As well, an evaluation and review will be undertaken of all of the Intervention Projects (IPs) conducted within the EXTRA program.

A Director for Impact and Evaluation has been recruited with a start date of January 22, 2009. The individual will be responsible for developing a new evaluation strategy and plan for the Foundation in the first quarter of 2009.

Planned audits: The Foundation conducts an annual financial audit as well as an audit of its pension plan. The Foundation's five-year Internal Audit Plan, approved by the Board of Trustees in May 2007, identifies a mini internal controls review each year. In 2009, the Foundation will conduct an internal controls review of one operational area.

URL of recipient site: http://chsrf.ca

Green Procurement

1. How is your department planning to meet the objectives of the Policy on Green Procurement?

Health Canada supports the objectives of the Green Procurement Policy, including incorporating environmental performance considerations and value for money into the procurement decision making process. Health Canada is an active participant in federal procurement reform initiatives, such as the establishment of mandatory standing offers led by Public Works and Government Services Canada (PWGSC), which incorporate environmental performance and lifecycle analysis.

Health Canada has incorporated green procurement targets in the Sustainable Development Strategy (SDS) 2007-2010 in support of the Green Procurement Policy.

2. Has your department established green procurement targets?

Yes

3. Describe the green procurement targets that have been set up by your department and indicate the associated benefits anticipated?

Health Canada has established targets in the SDS 2007-10 in support of the Green Procurement Policy. They are:

By March 2010, all material managers and procurement personnel will attend a recognized training course on green procurement offered by PWGSC, Canada School of Public Service (CSPS), or any other federal government department
By March 2010, incorporate tracking tools into the existing systems (e.g. SAP) to monitor green purchases.

Health Canada is working to incorporate green procurement tracking procedures in its existing enterprise system through participation in horizontal SAP initiatives with other SAP departments. Once implemented, communications and awareness to users will facilitate the anticipated benefit of benchmarking and reporting progress on green procurement.

Health Canada is committed to training all procurement personnel and materiel managers through the Canada School of Public Service online course on green procurement. Associated benefits relating to knowledgeable functional experts includes raising awareness and providing advice regarding sound procurement planning and green procurement opportunities with cost centre managers (the contracting authorities). The department also promotes training of cost centre managers on green procurement by encouraging them to take the CSPS on-line training, by broadcasting general awareness messages and by participating in Environment Week in the National Capital Area.

Sustainable Development Strategy

Health Canada's Sustainable Development Strategy (SDS) IV 2007-2010 entitled "A Path to Sustainability" is a three year strategic plan containing commitments to integrate sustainable development principles and practices into our policies, programs and operations - recognizing the complex interrelationships between health, the environment, the economy and a range of social elements.

The current Strategy is Health Canada's fourth Sustainable Development Strategy since 1995. Building on the success of the previous strategies, our fourth strategy continues with the same three themes, each representing an important component of sustainable development.

Helping to Create Healthy Social and Physical Environments:

Is supported by thirty seven targets relating to clean air, clean water, sustainable communities, protection of the environment and human health and food safety.

Minimizing the Environmental and Health Effects of the Department's Physical Operations and Activities:

Is supported by eleven targets relating to greening our operations including fleet management, building energy, procurement, training, business travel and environmental stewardship.

Integrating sustainable development into departmental decision-making and management processes and advancing the social pillar of sustainability:

Is supported by three targets relating to the integration of SD principles into decision making.

Health Canada's current SDS contains 51 measurable targets under these three long-term themes. The targets contribute to the department's strategic outcomes such as access to safe and effective health products and information, reduced health and environmental risks, safer living and working environments and better health outcomes for First Nations and Inuit and other Canadians. Specific targets address priorities such as clean air, clean water, sustainable communities, protection of the environment and human health, food safety, procurement, training and awareness, environmental stewardship and integrating sustainable development into departmental decision-making and management processes. Performance measures at the strategic outcome level are clearly laid out in the Strategy.

Our current Strategy reflects Health Canada's commitment to a coordinated federal approach for the fourth round of departmental SDS, a government-wide initiative, led by Environment Canada, to strengthen coherence and accountability across departmental sustainable development strategies. This collaborative effort resulted in a set of common federal sustainable development goals and an associated reporting format that will enable government-wide reporting on key federal sustainable development issues for the first time since the establishment of the SDS process.

The six federal long-term sustainability goals include: clean and secure water for people, marine and freshwater ecosystems; clean air for people to breathe and ecosystems to function well; reduce greenhouse gas emissions; communities enjoy a prosperous economy, a vibrant and equitable society, and a healthy environment for current and future generations; sustainable development and use of natural resources; and strengthen federal governance and decision-making to support sustainable development.

Health Canada's current SDS was designed to align to the largest extend possible to the above six federal goals, while also reflecting the nature of the mandate for the department.

Health Canada's first Annual Progress report on the 2007-2010 SDS indicated that at the end of fiscal year 2007-08, of the total 51 target, 84% were either completed or on schedule. Initial assessment for the year 2008-09 indicates that the rest of the targets are on schedule. For the fiscal year April 1, 2009 - March 31, 2010, the department will work towards fulfilling its commitments to all 51 targets as laid out in the current Strategy, thus completing the last year of the three-year Strategy. Priorities for 2009-2010 include:

Continue to develop tools and information materials to better prepare Canadians and health professionals to deal with potential health impacts associated with a changing climate
Continue to develop water management plans to reduce risks to health on passenger conveyance
Continue to reduce the prevalence of Canadians exposed daily to second-hand smoke from 28% to 20% by 2011
Finalize a regulatory framework for the Environmental Assessment regulations for new substances contained in products regulated under the Food & Drugs Act
Continue to deliver training sessions for industry crop developers on how to prepare novel food applications

For addition information on targets found in Health Canada's Sustainable Development Strategy 2007-2010: A Path to Sustainability, please contact the Office of Sustainable Development at osd@hc-sc.gc.ca.

Horizontal Initiatives

Federal Tobacco Control Strategy (FTCS)

Name of lead department: Health Canada (HC)

Lead department program activity:

Substance use and abuse

Start date: April 1, 2007

End date: March 31, 2011

Total federal funding allocation: $368.5 million

Description of the horizontal initiative: The FTCS establishes a framework for a comprehensive, fully-integrated, and multi-faceted approach to tobacco control. It is driven by the longstanding commitment of the Government of Canada to reduce the serious and adverse health effects of tobacco for Canadians. It focuses on four mutually reinforcing components: prevention, cessation, protection, and product regulation.

Shared outcomes: The long-term outcome of the FTCS is to reduce tobacco-related disease and death in Canada.

To pursue this long-term outcome, the FTCS will contribute the following tobacco control goal and objectives for April 1, 2007 to March 31, 2011.

Goal: Reduce overall smoking prevalence from 19% (2005) to 12% by 2011.

Objectives:

Reduce the prevalence of Canadian youth (15 to17) who smoke from 15% to 9%;
Increase the number of adult Canadians who quit smoking by 1.5 million;
Reduce the prevalence of Canadians exposed daily to second-hand smoke from 28% to 20%;
Examine the next generation of tobacco policy control in Canada;
Contribute to the global implementation of the World Health Organization's Framework Convention on Tobacco Control; and
Monitor and assess contraband tobacco activities and enhance compliance.

Governance structures: Resources for the implementation of the FTCS were allocated to a number of departments and agencies. HC is the lead department in the FTCS and is responsible for regulating the manufacture, sale, labelling, and promotion of tobacco products as well as developing, implementing and promoting initiatives that reduce or prevent the negative health impacts associated with smoking.

The partner departments and agencies are:

Public Safety Canada (PSC): administers contribution funding for monitoring activities in connection with determining levels of contraband tobacco activity. PS also provides policy advice and support on smuggling issues and leads Canada's delegation that is negotiating an international protocol on illicit trade in tobacco products
Office of the Director of Public Prosecutions (ODPP): responsible for monitoring federal fines imposed in relation to tobacco and other types of offences, and for enforcing and recovering outstanding fines
Royal Canadian Mounted Police (RCMP): responsible for the enforcement of laws in relation to the international movement of tobacco products (including the illicit manufacture, distribution or possession of contraband tobacco products)
Canada Revenue Agency (CRA) (formerly the Canada Customs and Revenue Agency): responsible for ensuring the assessment and collection of tobacco taxes and monitoring tobacco exports.
Canada Border Services Agency (CBSA) (previously part of the former Canada Customs and Revenue Agency): responsible for monitoring and assessing of the contraband tobacco market in Canada and internationally, as well as improving the administration of assessment and collection of new tobacco taxes on imported tobacco.

Federal Partners:	Federal Partner Program Activity (PA):	Names of Programs for Federal Partners:	Total Allocation (from Start to End Date): (Million)	Planned Spending for 2009–10: (Million)	Expected Results for 2009–10:
HC	Substance use and abuse	FTCS	287.34	57.46	The FTCS has set a 4-year goal to: Reduce overall smoking prevalence from 19% (2005) to 12% by 2011 . All activities are expected to contribute towards achieving this result.
PSC	N/A	FTCS	3.05	0.61	Expected results for 2009-10 will be reported through PSC's departmental Report on Plans and Priorities.
RCMP	N/A	FTCS	8.62	1.72	Expected results for 2009-10 will be reported through the RCMP's departmental Report on Plans and Priorities.
ODPP	N/A	FTCS	12.22	2.44	Expected results for 2009-10 will be reported through the ODPP's Report on Plans and Priorities.
CRA	N/A	FTCS	4.44	0.89	Expected results for 2009-10 will be reported through the CRA's departmental Report on Plans and Priorities.
CBSA	N/A	FTCS	52.8	10.56	Expected results for 2009-10 will be reported through the CBSA's departmental Report on Plans and Priorities.
Total			368.47	73.68

Results to be achieved by non-federal partners: Health Canada works with a variety of partners (e.g. Provinces, Territories, NGOs) to achieve results in reductions in tobacco control.

Contact information :

Cathy A. Sabiston
Director General, Tobacco Control Program
Health Canada
613-941-1977

Chemicals Management Plan

Name of lead departments: Health Canada

Lead department program activity:

Sustainable Environmental Health

Start date: 2007-2008

End date: 2010-2011

Total federal funding allocation: $299.4 million

Description of the horizontal initiative: The Chemicals Management Plan (CMP) is part of the Government's comprehensive environmental agenda and is managed jointly by Health Canada (HC) and Environment Canada (EC). The activities identified in this plan build on Canada's position as a global leader in the safe management of chemical substances and products, and focus upon timely action on key threats to health and the environment.

The CMP will also generate a higher level of responsibility for industry through realistic and enforceable measures, stimulate innovation, and augment Canadian competitiveness in an international market that is increasingly focussed on chemical and product safety.

HC and EC will manage the CMP funding collectively and ensure that it is aligned with human health and environmental priorities.

Shared outcomes: High-level outcomes for managing the CMP include:

Ensuring Canadians and their environment are protected from the harmful effects of chemicals;
Identification, reduction, elimination, prevention or better management of chemicals substances and their use;
Direction, collaboration and coordination of science and management activities;
Understanding of the relative risks of chemicals substances and options to mitigate;
Biomonitoring and environmental monitoring of substances;

Risk assessment and risk management; and informed stakeholders and the Canadian public.

Governance structures: HC shares responsibility with EC in the attainment of objectives and results, in the overall delivery of the CMP. The two departments are individually accountable along their vertical authorities for leading programs, but share collective responsibility for achieving the expected CMP results.

The CMP consists of five inter-related program elements: Risk Assessment, Risk Management, Research, Monitoring and Surveillance, and Policy and Program Management, which are delivered and evaluated within the CMP integrated horizontal governance framework.

Under this framework, the Assistant Deputy Ministers Committee (ADM Committee) and the Chemical Management Executive Committee (CMEC) provide strategic direction, oversight, coordination and challenge function for the overall CMP implementation and review of results on CMP-related activities.

Various committees and working groups share information, support integrated program delivery of the key functions of the CMP, and provide advice and information to the CMEC and ADM Committees. Two Advisory Bodies - the Stakeholder Advisory Council and the Challenge Advisory Panel - provide additional input and advice for CMP implementation.

The horizontal governance mechanisms are supported by the Integrated Program Management Office (IPMO) of Health Canada as well as ESB Branch Coordination (Environment Canada). The IPMO provides secretariat support to the operation of governance committee meetings and ensures the implementation of supportive management procedures to facilitate executive oversight, monitoring and analysis of results.

A series of agreed-upon procedures will permit departments to collectively address key issues such as the allocation and re-allocation or reprofiling of resources, data collection on performance and coherence in the reporting of results.

Federal Partners:	Federal Partner Program Activity (PA):	Names of Programs for Federal Partners:	Total Allocation (from Start to End Date): (Million)	Planned Spending for 2009-10: (Million)	Expected Results for 2009–10 :
HC	Sustainable Environmental Health Chemical Management (PAA Sub-Activity)	Risk Assessment	10.0	2.5	Increase level of Canadian public awareness of chemical management issues and actions being taken, including risks related to food chemical contamination, pesticides and consumer products. Risk assessments are conducted and risk management objectives are met for regulations and other control instruments for substances and the products of biotechnology, including risks related to food chemical contamination, pesticides and consumer products. Declining trends in levels of risk, adverse reactions, illnesses and injuries from toxic chemical substances in the environment and their use and/or the risk of exposure to Canadians, including the use of pesticides, consumer products and items regulated under the Food and Drugs Act. Enhanced knowledge of chemical contaminants of environmental origin and their impacts on human health with targeted risk assessment and regulatory decisions to reduce Canadians' exposure to these substances, including risks related to food chemical contamination, pesticides and consumer products.
		Risk Management	50.1	14.0
		Research	26.6	10.9
		Monitoring & Surveillance	34	11.5
		Program Management	5.4	1.4
	Consumer Products	Risk Management	12.6	3.4
	Pesticide Regulation	Risk Assessment	9.9	3.1
	Pesticide Regulation	Risk Management	13.6	4.2
	Health Products	Risk Assessment	3.3	0.8
		Risk Management	12.5	4.3
		Research	2.5	0.5
		Monitoring & Surveillance	1.2	0.3
		Program Management	0	0.1
	Food and Nutrition	Risk Assessment	3.8	1.2
		Risk Management	6.2	1.9
		Research	1.2	0.3
EC	Chemicals Management (3.1)	Risk Assessment	13.1	3.1	Risks to Canadians and impacts on their environment posed by toxic and other substances of concern are reduced. Direction, collaboration and coordination of science and management activities Increased knowledge of the risks of toxic chemical substances through research and options to mitigate Risk assessments conducted in a timely fashion as required Risk management objectives are met, e.g. effective controls identified and implemented Enhanced knowledge of stakeholders and the Canadian public regarding risk assessment/management activities, including knowledge on the effectiveness of control actions
		Research /Science	2.1	0
		Monitoring & Surveillance	26.4	7.3
		Risk Management	64.9	19.3
Sub-Total (Environment Canada)			106.5	29.7
Sub-Total (Health Canada)			192.9	60.4
Total			299.4	90.1

Results to be achieved by non-federal partners (if applicable): N/A

Contact information:

Suzanne Leppinen
Director, Safe Environments Directorate
Health Canada
613-941-8071

Early Childhood Development and Early Learning and Child Care

Name of lead department: Health Canada (HC)

Lead department program activity:

First Nations and Inuit Health Programming and Services

Start date: ECD - October 2002.

ELCC - December 2004

End date : ECD Strategy - ongoing

ELCC Single Window - ongoing

Total federal funding: $365 million 2002-03 to 2006-07; Ongoing: $79 million/year ongoing.

ECD: $320 million 2002-03 to 2006-07 ($60 million in 2002-03 and $65 million thereafter). Ongoing: $65 million per year ongoing.

ELCC: $45 million 2005-06 to 2007-08 ($14.5 million in 2005-06; $15.3 million in 2006-07; $15.2 million in 2007-08). Ongoing: $14 million/year ongoing.

Description of the horizontal initiative: The ECD Strategy for First Nations and Other Aboriginal Children was announced on October 31, 2002. The strategy provides $320 million over five years to: improve and expand existing ECD programs and services for Aboriginal children; expand ECD capacity and networks; introduce new research initiatives to improve understanding of how Aboriginal children are doing; and work towards the development of a "single window" approach to ensure better integration and coordination of federal Aboriginal ECD programming.

In December 2004, as first phase of a "single window", Cabinet approved an additional $45 million over three years ($14 million ongoing) to improve integration and coordination of two ECD programs-Aboriginal Head Start on Reserve and the First Nations and Inuit Child Care Initiative-beginning in 2005-06.

The objectives of these funds are to increase access to and improve the quality of ELCC programming for First Nations children on reserve, and improve integration and coordination between the two programs through joint planning, joint training and co-location.

Joint planning will also include INAC-funded child/day care programs in Alberta and Ontario.

Shared outcomes: The federal ECD Strategy complements the September 2000 First Ministers F/P/T ECD Agreement. It seeks to address the gap in life chances between Aboriginal and non-Aboriginal children by improving the developmental opportunities to which Aboriginal children (and their families) are exposed at an early age (0-6 years).

The funding approved in December 2004 for ELCC for First Nations Children Living on Reserve and Working Towards the First Phase of a "Single Window" complements funding released to provinces and territories under the March 2003 Multilateral Framework for Early Learning and Childcare (ELCC) to improve access to ELCC programs and services.

Governance structures: Interdepartmental ECD ADM Steering Committee and Interdepartmental ECD Working Group.

Federal Partners	Federal Partner Program Activity (PA)	Names of Programs for Federal Partners	Total Allocation (from Start to End Date): ($ millions)	Planned Spending for 2009–10 ($ millions)	Expected Results for 2009–10
HC	First Nations and Inuit Health Programming and Services	Aboriginal Head Start on Reserve (AHSOR)	107.60 (2002-03 through to 2006-07; 21.52/year) 21.52/year ongoing. Committed in 2002.	21.52	Program support and enhancement
		Aboriginal Head Start on Reserve (AHSOR)	24.00 (2005-06 through to 2007-08, 7.50 in 2005-06, 8.30 in 2006-07; 8.20 in 2007-08). 7.50 in 2008-09 and ongoing Committed in 2005	7.50	Increase integration, coordination, access, and quality
		Fetal Alcohol Spectrum Disorder - First Nations and Inuit Component (FASD-FNIC)	70.00 (2002-03 through to 2006-07; 10.00 in 2002-03 and 15.00 thereafter). 15.00/ year ongoing. Committed in 2002.	15.00	Complete the Mentoring Project Special Study to guide mentoring projects and to provide further training and support. Support and evaluate FASD Community Coordinator pilot projects towards the development of an evidence-based project framework. Develop strategies to incorporate findings on support for FN/I women with addictions
		Capacity Building	5.08 2002-03 through to 2006-07; 1.02/year). 1.02/ year ongoing. Committed in 2002	1.02	Increase capacity with National Aboriginal Organizations Enhance capacity of community ECE practitioners
PHAC	Child and Adolescent Health Promotion	a. Aboriginal Head Start in Urban and Northern Communities (AHSUNC)	62.88 (2002-03 through to 2006-07; 12.58/ year and ongoing. Committed in 2002.	12.58	Enrolment in the AHSUNC program has increased by almost 10%. Program expansion and enhancement will address the increasing special needs requirements of children and provide staff with the tools to address these needs
PHAC	Child and Adolescent Health Promotion	Capacity Building	2.50 (2002-03 through to 2006-07; 0.50/year) and ongoing Committed in 2002	0.50	Increased capacity
HRSDC	Lifelong Learning– Health Human Resources (HHR)	First Nations and Inuit Child Care Initiative (FNICCI)	45.70 (2002-03 through to 2006-07; 9.14/year) and ongoing Committed in 2002	9,14 and on-going	Program expansion and enhancement
	Lifelong Learning– Health Human Resources (HHR)	First Nations and Inuit Child Care Initiative (FNICCI)	21.00 (2005-06 through to 2007-08; 7.00/year). 6.50/ year ongoing. Committed in 2005	6,50 and on-going	Increase program integration, coordination, access and quality
	Lifelong Learning-HHR	Research and Knowledge	21.20 (2002-03 through to 2006-07); 4.24/year and ongoing.	4,24 and on-going	Assessment and implementation of the Aboriginal Children's Survey (ACS) and the Aboriginal component of "Understanding the Early Years" (EUY)
INAC	The people- social development	Family Capacity Initiatives	5.05 (2002-03 through to 2006-07; 1.01/year 2007-2008 and ongoing. Committed in 2002	1.01 and on-going	Partnerships with other government departments and First Nations to support increased coordination/integration of ECD programs and services
Total			ECD: 320.00 (60.00 in 2002-03 and 65.00/year through to 2006-07); 65.00/year ongoing	ECD: 65.00/year ongoing
Total			ELCC: 45.00 (14.50 in 2005-06; 15.30 in 2006-07; 15.20 in 2007-08); and 14.00/year ongoing	ELCC: 14.00/year ongoing

Results to be achieved by non-federal partners (if applicable): N/A

Contact information :

Marcia Armstrong, Program Officer,
ECD Strategy Unit, First Nations and Inuit Health Branch, Health Canada
613-946-4621

Food and Consumer Safety Action Plan (Action Plan)

Name of lead department: The lead is shared between Canadian Food Inspection Agency (CFIA), Health Canada (HC), the Public Health Agency of Canada (PHAC), and the Canadian Institutes of Health Research (CIHR)

Lead department program activity:

CIHR: Strategic Priority Research
CFIA: Food Safety
HC: Consumer Products, Pesticide Regulation, Health Products, and Food Safety
PHAC: Health Promotion, Chronic Disease Prevention and Control, and Infectious Disease Prevention and Control

Start date: Fiscal Year 2008-09

End date: 2012-13 and ongoing

Total federal funding allocation: $489.5 million over five years ending in Fiscal Year 2012/2013, and $126.7 million ongoing.

Description of the horizontal initiative : The federal government is responsible for promoting the health and safety of Canadians. A key part of this role is ensuring that the products used by Canadians are safe. Adverse consequences associated with unsafe products impact not only the Canadian public, but also the Canadian economy. The Food and Consumer Safety Action Plan (Action Plan) is a horizontal initiative aimed at modernizing and strengthening Canada's safety system for food, health and consumer products. A number of recent high-profile incidents, such as lead and ingestible magnets in children's toys, foodborne diseases in fresh produce, and the global withdrawal of Vioxx, have underscored the need for government action.

The Action Plan will modernize Canada's regulatory system to enable it to better protect Canadians from unsafe consumer products in the face of current realities and future pressures. The Action Plan will bolster Canada's regulatory system by amending or replacing outdated health and safety legislation with new legislative regimes that respond to modern realities, and by enhancing safety programs in areas where modern legislative tools already exist. We will implement the Action Plan to ensure that Canadians have the information they need to assess the risks and benefits associated with the consumer and health products they choose to use, and to minimize risks associated with food safety.

The Action Plan is an integrated, risk-based plan and includes a series of initiatives that are premised on three key pillars: active prevention, targeted oversight and rapid response. We will focus on active prevention to avoid as many incidents as possible and work closely with industry to promote awareness, provide regulatory guidance, and help identify safety concerns at an early stage. Targeted oversight will provide for early detection of safety problems and further safety verification at the appropriate stage in a product's life cycle. To improve rapid response capabilities and ensure the government has the ability to act quickly and effectively when needed we will work to enhance health risk assessments, strengthen recall capacity, and increase the efficiency in responding and communicating clearly with consumers and stakeholders.

In addition to addressing the concerns outlined above, the Action Plan provides a platform for Canada to actively participate in the Security and Prosperity Partnership (SPP), in particular by supporting recent commitments to increase the safety of imported products within North America. It will also enable Canada to better align with US standards, which will have a positive impact on consumer confidence and the business climate.

Shared outcomes:

Increased knowledge of food risks and product safety (scientific and surveillance/monitoring)
Increased industry awareness and understanding of regulatory requirements
Increased industry compliance with safety standards
Increased consumer awareness and understanding of safety risks associated with health and consumer products and food
Strengthened oversight and response to safety incidents
Increased consumer confidence in health and consumer products and food
Increased trade-partner confidence in Canadian controls, which meet international standards
Increased availability of safe and effective products; and
Level playing field where imports can be demonstrated to meet Canadian requirements

Governance structures: The Minister of Health and the Minister of Agriculture and Agri-Food Canada have joint responsibility and accountability for results, and for providing information on progress achieved by the Action Plan.

Health Canada's Healthy Environments and Consumer Safety Branch (HECSB) and the Pest Management Regulatory Agency (PMRA), along with the Public Health Agency of Canada (PHAC), will work together to implement Action Plan activities related to consumer products.

Health Canada's Health Products and Food Branch (HPFB) will take primary responsibility for implementing Action Plan activities related to health products with support from Health Canada's Strategic Policy Branch (SPB) and the Canadian Institutes of Health Research (CIHR) on one initiative.

The Canadian Food Inspection Agency (CFIA), Health Canada's Health Products and Food Branch and the Public Health Agency of Canada will work together to implement Action Plan activities related to food.

A Governance Framework has been established and endorsed by all of the partner departments/agencies. To facilitate horizontal coordination the following DG/ED level Task Forces have been established: Health Products Task Force, Consumer Products Task Force, Food Task Force, Communications Task Force, and the Legislative and Regulatory Task Force. The Task Forces report to a DG/ED level Coordinating Committee. An ADM/VP level Steering Committee provides direction to the Coordinating Committee. An Oversight Committee of Deputy Heads will facilitate the provision of high level guidance to the Steering Committee. A Secretariat will play an integral role in supporting the ongoing operation and decision-making of the governance committees.

Federal Partners:	Federal Partner Program Activity (PA):	Names of Programs for Federal Partners:	Total Allocation (from 2008-2009 to 2012-2013): (Million $)	Planned Spending for 2009–10 : (Million$)	Expected Results for 2009–10:
Canadian Food Inspection Agency	Food Safety	Active Prevention	114.2	20.1	Better understanding of food safety risks Increased collaboration with industry to implement effective risk mitigation measures Strengthened standard setting and appropriate regulatory backstops Further engagement with Canadians in food safety decision making
		Targeted Oversight	77.1	13.2	Enhanced inspection of high risk sectors Enhanced targeted import control measures
		Rapid Response	32.2	6.0	Enhanced recall capacity Further targeted consumer risk communication
Canadian Institutes of Health Research	Strategic Priority Research	Targeted Oversight	27.1	2.3	Increased knowledge of post-market drug safety and effectiveness to inform decisions Increased capacity in Canada to address priority research on post-market drug safety and effectiveness
Health Canada	Consumer Products	Active Prevention	41.0	3.6	Increase effective use of standards by industry and improved compliance with product safety obligations Better informed consumers properly selecting and safely using products Responsive and proactive, risk-based product safety regulatory framework
		Targeted Oversight	15.7	2.7
		Rapid Response	17.9	3.4
	Pesticide Regulation	Active Prevention	6.9	1.3
	Pesticide Regulation	Rapid Response	8.0	1.0
	Food and Nutrition	Active Prevention	29.6	4.9	Increased awareness and understanding of food safety risks by consumers and health professionals Increased awareness and understanding of regulatory requirements by industry
	Food and Nutrition	Rapid Response	1.3	0.2	Improved ability to respond when unsafe food is identified
	Health Products	Active Prevention	57.6	10.8	Increased awareness and understanding of health products safety risks by consumers and health professionals Increased awareness and understanding of regulatory requirements by industry
		Targeted Oversight	34.6	3.9	Improved information, data and knowledge sharing related to health products, and associated adverse health incidents Improved monitoring of products and associated adverse health incidents
		Rapid Response	Existing Resources	Existing Resources	Improved ability to respond when unsafe health products are identified
Public Health Agency of Canada	Health Promotion	Targeted Oversight	4.5	0.6	More and better data on unintentional injuries, illnesses and deaths due to consumer products Engagement of risk assessment stakeholders
	Chronic Disease Prevention and Control	Targeted Oversight	3.5	0.4
	Infectious Disease Prevention and Control	Active Prevention	18.3	4.0	New information and data on enteric disease issues and the impact of interventions on public health
Total			489.5	78.4

Internal Audits
Name of Internal Audit	Audit Type	Status	Expected Completion date	Electronic Link to Report
Dental Benefits	Program	In progress	2009-10	N/A
FNHIB - Quality Assurance Process for Recipient Audits	Transfer Payment	In progress	2009-10	N/A
Biologic and Genetic	Program	In progress	2009-10	N/A
Capital Contribution Agreements	Transfer Payment	Planned	2009-10	N/A
Consumer Product Safety - new substances and products of biotechnology	Program	In progress	2009-10	N/A
Financial Forecasting and Year-End Expenditure Patterns	Initiative	In progress	2009-10	N/A
HPFB - Human Drugs	Program	Planned	2009-10	N/A
Financial Reporting controls	Risk-Based Controls	In progress	2009-10	N/A
Asset Management	Initiative	Planned	2009-10	N/A
Contracting for Professional Services	Initiative	Planned	2009-10	N/A
Real Property Management Control Framework	Risk-Based Controls	Planned	2009-10	N/A
IM/IT Governance	Initiative	Planned	2009-10	N/A
Non-Insured Health Benefits - medical transportation	Risk-Based Controls	Planned	2009-10	N/A
Management of Contributions	Transfer Payment	Planned	2009-10	N/A
FNIHB - Primary Health Care	Program	Planned	2009-10	N/A
Lab Facilities Infrastructure	Program	Planned	2009-10	N/A

Electronic Link to Internal Audit plan: N/A

Table 7: Upcoming Evaluations (Next three fiscal years)

Fiscal Year 2009 - 2010
Name of Evaluation	Program Type	Status	Expected Completion Date
Implementation of a Patient Wait Times Guarantee Pilot Project Fund	Summative Evaluation (Grants & Contributions) (G&Cs)	Ongoing	March 2010
Augmenting Health Canada’s Response to Bovine Spongiform Encephalopathy (BSE) - RSE 1, Phase II of Health Canada’s and the Public Health Agency of Canada’s response to BSE in the Areas of Risk Assessment and Targeted Research = BSE II	Summative Evaluation	Planned	March 2010
Natural Health Products	Strategic Evaluation	Ongoing	September 2009
Food Safety and Nutrition Quality	Strategic Evaluation	Ongoing	October 2009
Medical Devices	Strategic Evaluation	Ongoing	March 2010
Climate and Infectious Disease Alert and Response Systems to Protect the Health of Canadians	Program Evaluation	Planned	March 2010
Air Quality Health Index and Forecast Program	Program Evaluation	Planned	March 2010
Canada’s Clear Air Agenda - Clean Air Regulatory Agenda (Environment Canada Lead)	Thematic Evaluation	Planned	March 2010
Federal Contaminated Sites Action Plan	Summative Evaluation	Planned	March 2010
National Anti-Drug Strategy (Justice Canada Lead)	Horizontal Formative Evaluation (including G&Cs)	Planned	March 2010
Building Public Confidence in Pesticide Regulation and Improving Access to Pest Management Products	Summative Evaluation	Ongoing	March 2010
Children and Youth (Cluster)	Strategic Evaluation (including G&Cs)	Ongoing	September 2009
Communicable Disease Control (Cluster)	Strategic Evaluation (including G&Cs)	Ongoing	October 2009
Continued Implementation of the Labrador Innu Comprehensive Healing Strategy	Summative Evaluation	Ongoing	March 2010
Chronic Disease and Injury Prevention (Cluster)	Strategic Evaluation (including G&Cs)	Planned	March 2010
Environmental Health Research (Cluster)	Strategic Evaluation (including G&Cs)	Planned	March 2010
Non-Insured Health Benefits (Cluster)	Strategic Evaluation (including G&Cs)	Ongoing	March 2010
Health Facilities and Capital Program	Strategic Evaluation (including G&Cs)	Planned	March 2010

Fiscal Year 2010 - 2011
Name of Evaluation	Program Type	Status	Expected Completion Date
Veterinary Drugs	Strategic Evaluation	Planned	March 2011
Nutrition Promotion	Strategic Evaluation	Planned	March 2011
Canada’s Clean Air Agenda - Adaptation Theme (Environment Canada Lead)	Thematic Evaluation	Planned	March 2011
Canada’s Clear Air Agenda - Indoor Air Quality Theme	Thematic Evaluation	Planned	March 2011
Protecting Canadians and the Environment from Toxic Substances through a Chemical Management Plan	Summative Evaluation	Planned	March 2011
Federal Tobacco Control Strategy	Summative Evaluation	Planned	March 2011
Mental Health and Addictions (Cluster)	Strategic Evaluation (including G&Cs)	Planned	March 2011
Environmental Health and Research (Cluster)	Strategic Evaluation (including G&Cs)	Planned	March 2011

Fiscal Year 2011 - 2012
Name of Evaluation	Program Type	Status	Expected Completion Date
Health Care Policy Contribution Program	Summative Evaluation (Contribution)	Planned	March 2012
Biologics	Strategic Evaluation	Planned	March 2012
Organ and Tissue Donation and Transplantation Program	Summative Evaluation (G&Cs)	Planned	March 2012
Horizontal Evaluation of the Genomics Research and Development Initiative	Summative Evaluation	Planned	March 2012
Environmental Health Guide	Program Evaluation	Planned	March 2012
Strengthening and Modernizing Canada’s Safety System for Health, Consumer and Food Products - Consumer Products	Component Evaluation	Planned	March 2012
Drug Treatment Funding Program of the National Anti-Drug Strategy	Summative Evaluation (G&Cs)	Planned	March 2012
National Anti-Drug Strategy (Justice Canada Lead)	Horizontal Summative Evaluation (including G&Cs)	Planned	March 2012
Strengthening and Modernizing Canada’s Safety System for Health, Consumer and Food Products - Pesticide Products	Component Evaluation	Planned	March 2012
Primary Care (Cluster)	Strategic Evaluation (including G&Cs)	Planned	March 2012
Transfer (Health Governance and Infrastructure Support) (Cluster)	Strategic Evaluation (Transfer Payment)	Planned	March 2012

Evaluation plan

Sources of Respendable and Non-Respendable Revenue

Respendable Revenue ($ millions)
Program Activity	Forecast Revenue 2008-09	Planned Revenue 2009-10	Planned Revenue 2010-11	Planned Revenue 2011-12
Health Products	39.4	39.4	39.4	39.4
Food and Nutrition	1.3	1.3	1.3	1.3
Sustainable Environmental Health	1.4	1.4	1.4	1.4
Consumer Products	0.5	0.5	0.5	0.5
Workplace Health	14.0	14.0	14.0	14.0
Pesticide Regulation	7.0	7.0	7.0	7.0
First Nations and Inuit Health Programming and Services	5.5	5.5	5.5	5.5
Internal Services	0.7	0.7	0.7	0.7
Total Respendable Revenue	69.6	69.6	69.6	69.6

Non-Respendable Revenue ($ millions)
Program Activity	Forecast Revenue 2008-09	Planned Revenue 2009-10	Planned Revenue 2010-11	Planned Revenue 2011-12
Health Products	3.1	3.1	3.1	3.1
Food and Nutrition	0.8	0.8	0.8	0.8
Sustainable Environmental Health	0.1	0.1	0.1	0.1
Consumer Products	0.1	0.1	0.1	0.1
Workplace Health	1.5	1.5	1.5	1.5
Pesticide Regulation	1.0	1.0	1.0	1.0
First Nations and Inuit Health Programming and Services	2.3	2.3	2.3	2.3
Internal Services	0.0	0.0	0.0	0.0
Total Non-Respendable Revenue	8.9	8.9	8.9	8.9
Total Respendable and Non-Respendable revenue	78.5	78.5	78.5	78.5

Health Information and Claims Processing Services (HICPS) Major Crown Project

Description: HICPS is the key delivery mechanism for the adjudication and payment of pharmacy, medical supplies and equipment, and dental benefits under Health Canada’s Non-Insured Health Benefits (NIHB) Program. HICPS supports the delivery of much-needed health benefits for over 790,000 eligible First Nations and Inuit clients. The HICPS includes a full range of claims processing and payment services; provider audit services; provider registration; and communications services. In fiscal year 2007/08, a total number of 24,631 active NIHB providers were registered with the HICPS claims processor and, during this time, more than 17 million claim lines were processed through HICPS.

The HICPS Project was established to conduct a competitive procurement to replace the existing HICPS contract, to manage the implementation of the new service contract and ensure a smooth transition from the current incumbent to the new contractor.

Project Phase:

Project Implementation - The HICPS Major Crown Project entered the project pre-implementation phase with the December 4, 2007 award of the HICPS contract to ESI Canada.

Overview - The HICPS Project Implementation phase will terminate in December 2009 with a project evaluation. The new adjudication system will be put into operation on December 1, 2009.

Leading and Participating Departments and Agencies

Lead Department: Health Canada

Contracting Authority: Public Works and Government Services Canada

Participating Departments: Indian and Northern Affairs Canada

Prime and Major Subcontractors

Progress Report and Explanations of Variances: Following the contract award to ESI Canada on December 4, 2007, Health Canada has undertaken joint project planning with ESI Canada. The HICPS Major Crown Project has progressed to date in accordance with the established project milestones. The business requirements gathering phase was completed in August 2008 and the system and service development phase is well underway. Health Canada is also working with ESI and the current contractor in order to ensure a smooth transition of the operations between the two organizations on December 1, 2009.

Industrial Benefits The Industrial Regional Benefits (IRB) model was modified to focus on benefiting the Aboriginal economic community, rather than a specific industry or region of Canada, resulting in an Aboriginal benefit requirement (ABR) which is unique to the HICPS Project.

The development of the ABR approach for the HICPS Project was informed by industry feedback through two Requests for Information (RFI) consultation processes, and approved by Treasury Board. As HICPS Prime Contractor, ESI Canada is required to ensure a mandatory and substantial Aboriginal benefits requirement representing direct or indirect benefits to Aboriginal businesses or individuals.

User Fees
Name of User Fee	Fee Type	Fee-setting Authority	Reason for Planned Introduction of or Amendment to Fee	Effective Date of Planned Change	Consultation and Review Process Planned
Authority to Sell Drugs Fees - AMENDED	Regulatory Service (R)	Financial Administration Act (FAA)	Fees are being amended because: fees have not been revised since originally implemented in 1995-98, while the cost of doing business and the number and scope of regulatory activities have increased current fees are not reflective of costs to deliver services within service standards Auditor General recommended (2004 and 2006) costing and funding be revised and reviewed regularly It is part of establishing a sustainable and sufficient funding platform to resource regulatory programs	2009-10	The User Fees proposals have gone through two rounds of consultations and the review by Independent Advisory Panels. Parliamentary Review of the Fee Proposals and Canada Gazette publication of proposed fees are planned in 2009-10.
Certificates of Pharmaceutical Product (Drug Export) Fees - AMENDED	Other Goods and Services (O)	Ministerial authority to enter into contract –Department of Health Act
Drug Establishment Licensing Fees - AMENDED	R	FAA
Drug Master File Fees - AMENDED	O	Ministerial authority to enter into contract –Department of Health Act
Drug Submission Evaluation Fees - AMENDED	R	FAA
Medical Device Licence Application Fees - AMENDED	R	FAA
Fees for Right to Sell a Licensed Medical Device - AMENDED	R	FAA
Medical Device Establishment Licensing Fees - AMENDED	R	FAA

Additional information is available on the HPFB CRI website at http://www.healthcanada.gc.ca/hpfb_costrecovery

Statement of Management Responsibility

Health Canada

The introduction of future-oriented financial statements is a Parliamentary direction for departments to provide enhanced financial information to external users. As this is the first year Health Canada has prepared future-oriented financial statements, only the Statement of Operations and the accompanying Notes to the Statement of Operations have been compiled to forecast future-oriented results for the 2009-2010 fiscal year. Responsibility for the compilation, content and presentation of the Statement of Operations for the year ended March 31, 2010 and all information contained in this statement rests with Health Canada's management. This future-oriented information has been prepared by management in accordance with Treasury Board accounting policies which are consistent with Canadian generally accepted accounting principles for the public sector. The future-oriented Statement of Operations and the accompanying notes are submitted for Part III of the Estimates (Report on Plans and Priorities), and will be used in the Health Canada's Departmental Performance Report to compare with actual results.

Management is responsible for the integrity and objectivity of the information contained in the future-oriented financial information and for the process of developing forecasts and future projections. These forecasts and future projections are based upon information available and known to management at the time of development. They reflect current business and economic conditions and assume a continuation of current governmental priorities and consistency in Health Canada's mandate and strategic objectives. Much of the future-oriented financial information uses best estimates, assumptions and judgment to derive these forecasts and future projections and gives due consideration to materiality. At the time of preparation of this information, management believes these best estimates and assumptions to be reasonable. However, as with any use of best estimates and assumptions, there is a measure of uncertainty surrounding them. This uncertainty increases as the forecast horizon extends.

The actual results achieved for the fiscal years covered in the accompanying future-oriented Statement of Operations will vary from the information presented and these variations may be material.

Morris Rosenberg
Deputy Minister
Date:

Alfred Tsang
Chief Financial Officer
Ottawa, Canada
Date:

Future-oriented Statement of Operations

For the year ended March 31
2010
(in thousands of dollars)
Expenses	Accessible and Sustainable Health System Responsive to the Health Needs of Canadians	Access to Safe and Effective Health Products and Food and Information for Healthy Choices	Reduced Health and Environmental Risks from Products and Substances, and Healthy, Sustainable Living and Working Environments	Better Health Outcomes and Reduction of Health Inequalities Between First Nations and Inuit and Other Canadians	Internal Services	Total
Transfer payments	272,252.4	8,496.4	57,095.7	1,071,042.9	-	1,408,887.4
Salaries and wages	33,593.3	216,387.3	211,043.1	189,286.3	217,449.7	867,759.7
Utilities, materials and supplies	430.5	7,288.0	25,780.1	438,981.1	9,904.2	482,383.9
Professional and special services	8,517.4	20,008.4	83,198.2	320,148.5	31,798.0	463,670.5
Travel non-insured health patient	-	-	-	92,911.3	-	92,911.3
Travel and relocation	3,048.4	2,704.4	13,835.5	23,810.2	4,043.2	47,441.7
Accommodation	1,429.0	10,104.4	10,139.8	10,361.4	10,610.3	42,644.9
Amortization	-	2,740.9	8,369.9	3,528.2	13,314.6	27,953.6
Purchased repair and maintenance	3.9	1,090.7	4,433.4	2,029.2	19,806.9	27,364.1
Information	231.7	1,022.5	10,205.8	3,811.0	5,378.8	20,649.8
Communications	171.9	921.8	2,577.7	7,540.5	8,808.6	20,020.5
Rentals	203.3	448.8	1,303.4	1,655.8	474.1	4,085.4
Bad debts	94.3	573.4	365.2	471.5	9.0	1,513.4
Other	3.8	140.9	748.8	556.9	2,990.6	4,441.0
	319,979.9	271,927.9	429,096.6	2,166,134.8	324,588.0	3,511,727.2
Revenues
Sales of goods and services
Services of a non-regulatory nature	-	4,128.5	18,068.0	7,750.0	682.0	30,628.5
Services of a regulatory nature	-	25,541.8	3,504.0	-	-	29,045.8
Rights and privileges	-	14,925.7	3,925.0	-	-	18,850.7
Interest	-	435.3	263.4	75.6	6.7	781.0
Other	-	-	1,500.0	-	-	1,500.0
	-	45,031.3	27,260.4	7,825.6	688.7	80,806.0
Net cost of operations	319,979.9	226,896.6	401,836.2	2,158,309.2	323,899.3	3,430,921.2

The accompanying notes are an integral part of the future-oriented statement of operations

Notes to the Future-oriented Statement of Operations

1. Authority and purpose

The Department of Health was established effective July 12, 1996 under the Department of Health Act to participate in the promotion and preservation of the health of the people of Canada. It is named in Schedule I of the Financial Administration Act and reports through the Minister of Health. Priorities and reporting are aligned under the following strategic outcomes and related program activities:

Strategic Outcome 1: Accessible and sustainable health system responsive to the health needs of Canadians

Canadian Health System
This program activity provides strategic policy advice on health care issues such as improved access, quality and integration of health care services to better meet the health needs of Canadians wherever they live or whatever their financial circumstances. The objective is pursued mindful of long-term equity, sustainability and affordability considerations and in close collaboration with provinces and territories, health professionals, administrators, other key stakeholders and citizens.

Improved access, quality and integration of health services administration is achieved through investments in the health system and in health system renewal, for instance by reducing wait times for essential services, by working with provinces and territories to ensure that the principles of the Canada Health Act are respected, by developing health information and health measures for Canadians, by meeting the health and health access needs of specific groups such as women and official language minority communities, and by ensuring the implementation of agreements between federal/provincial/territorial Ministers of Health.

Canadian Assisted Human Reproduction
This program activity implements the Assisted Human Reproduction (AHR) Act, whose objective is to protect and promote human health, safety, dignity and human rights in the use of AHR technologies. It develops policies and regulations in the area of assisted human reproduction. The science of AHR evolves rapidly and, as a result, the program activity engages stakeholders on an ongoing basis to find a balance between the needs of patients who use these technologies to help them build their families, the children born from these technologies and the providers of these services with health and safety as the overriding factors. The goal of the policies and regulations is developing a responsive regulatory regime which is a leader both domestically and in the international AHR community, and reflects the objectives put forward in the AHR Act. The program activity gathers input from stakeholders, including the provinces, to ensure a pan-Canadian approach.

International Health Affairs
Health Canada works internationally through leadership, partnerships and collaboration to fulfill its federal mandate of striving to make Canada's population among the healthiest in the world. International Affairs serves as the department's focal point to initiate, coordinate, and monitor departmental policies, strategies and activities that help promote Canadian priorities and values on the international health agenda. International collaboration on global health issues is important given that the health of Canadians is influenced significantly by public health risks originating from other countries. Global issues such as pandemic influenza preparedness, HIV/AIDS strategies and global health security are critical initiatives that are discussed with key external health partners such as the World Health Organization (WHO) and the Pan American Health Organization (PAHO).

Countries and international organizations want to connect quickly to information about Canada's health care system and initiatives. The international affairs program activity strives to share Canada's best policies and practices with other countries, and assists in the development of bilateral agreements with numerous countries on important health issues. This program activity delivers strategic policy advice on international health issues to the Minister of Health, senior management and the Health Portfolio, including appropriate representation at international fora concerning the health portfolio. It also manages grants to non-profit organizations for projects in the domain of international health that are aligned with Canada's priorities in global health.

Strategic Outcome 2: Access to Safe and Effective Health Products and Food and Information for Healthy Choices

Health Products
The Health Products program activity is responsible for a broad range of health protection and promotion activities that affect the everyday lives of Canadians. As the federal authority responsible for the regulation of health products, the program activity evaluates and monitors the safety, quality and effectiveness of drugs (human and animal), biologics, medical devices, and natural health products, under the authority of the Food and Drugs Act and Regulations, as well as the Department of Health Act. The program activity also provides timely, evidence-based and authoritative information to key stakeholders (including but not limited to: health care professionals such as physicians, pharmacists and practitioners such as herbalists, naturopathic doctors, Traditional Chinese Medicine (TCM) practitioners) and members of the public to enable them to make informed decisions and healthy choices.

Food and Nutrition
The Food and Nutrition program activity establishes policies, regulations and standards related to the safety and nutritional quality of food. Food safety standards-quality are enforced by the Canadian Food Inspection Agency (CFIA). The legislative framework for food is found in the Food and Drugs Act and Regulations, the Canadian Food Inspection Agency Act and the Department of Health Act. The program activity also promotes the nutritional health and well-being of Canadians by collaboratively defining, promoting and implementing evidence-based nutrition policies and standards. As the focal point and authoritative source for nutrition and healthy eating policy and promotion, the program activity disseminates timely, evidence-based and authoritative information to Canadians and stakeholders to enable them to make informed decisions and healthy choices.

Strategic Outcome 3: Reduced Health and Environmental Risks from Products and Substances, and Healthy, Sustainable Living and Working Environments

Sustainable Environmental Health
The environment continues to be a key determinant of health for all Canadians. This program activity promotes and protects the health of Canadians by identifying, assessing and managing health risks posed by environmental factors in living, working and recreational environments. The scope of activities includes: research on drinking water quality, air quality, contaminated sites, toxicology and climate change; clean air programming and regulatory activities; risk assessment and management of: chemical substances, environmental noise, environmental electromagnetic frequencies, products of biotechnology and products of other new and emerging technologies (including nanotechnology); solar ultraviolet radiation; preparedness for nuclear and environmental disasters as well as working with the passenger conveyance industry to protect the travelling public.

Under the Chemical Management Plan, Health Canada assesses and regulates chemicals used in industrial and consumer products. Other activities include: implementing a national bio-monitoring system; developing risk management performance agreements with industry sectors; and, strengthening the assessment and management of risks to human health posed by pharmaceuticals, personal care and consumer products, cosmetics and food. Finally, enhanced communications and outreach activities allow Canadians to make better informed decisions about limiting their exposure to potential environmental hazards. Relevant Act includes the Canadian Environmental Protection Act.

Consumer Products
Health Canada identifies, assesses, manages and communicates to Canadians the health and safety risks associated with consumer products (including domestic, industrial and clinical use products), cosmetics and radiation emitting devices. This is achieved through research, risk assessments and the development of risk management strategies to minimize the exposure of Canadians to potentially hazardous products. Also included are regulatory monitoring and compliance activities as well as information, education and guidance aimed at both industry and the public. Relevant acts include: consumer products (Hazardous Products Act), cosmetics (Food and Drugs Act) and radiation emitting devices (Radiation Emitting Devices Act).

Workplace Health
This program activity provides services to protect the health and safety of the federal public sector, visiting dignitaries, and others. Specific programs include: the provision of occupational health services to federal employees; delivery of the Employee Assistance Program; emergency health services to Internationally Protected Persons; dosimetry services (the measurement of personal, occupational exposure to radiation through the reading of "dosimeters" or plaques enclosed in special holders worn by the user for specified periods); and, Workplace Hazardous Materials Information System (WHMIS) a national hazard communication standard, including worker education, inspector training, and standards for cautionary labels.

Substance Use and Abuse
Through regulatory, programming and educational activities, Health Canada seeks to improve health outcomes by reducing and preventing tobacco consumption and combating alcohol and drug abuse. Through the Tobacco Act and its regulations, Health Canada regulates aspects of the manufacture and sale of tobacco. It also leads the Federal Tobacco Control Strategy - the goals of which are to: further reduce the prevalence of smoking; decrease the number of cigarettes sold; increase compliance with sales-to-youth laws; reduce exposure to second hand smoke; and, continue to explore ways to regulate the product.

Health Canada administers the Controlled Drugs and Substances Act (CDSA) and its regulations. Through four regional labs, Health Canada provides expert scientific advice and drug analysis services to law enforcement agencies. The Marihuana Medical Access Regulations and related programs control the authorization for use and cultivation of marihuana by those suffering from grave and debilitating illnesses. Health Canada is a partner in the government's anti-drug strategy which includes: prevention programming aimed at youth; facilitating access to treatment programs; compliance and enforcement activities related to controlled substances and precursor chemicals; and, increased resources to Drug Analysis Services commensurate with the increase in law enforcement resources.

Pesticide Regulation
To help prevent unacceptable risks to people and the environment, and facilitate access to sustainable pest management tools, Health Canada, through the Pest Management Regulatory Agency, regulates the importation, sale and use of pesticides under the federal authority of the Pest Control Products Act (PCPA) and Regulations.

Strategic Outcome 4: Better Health Outcomes and Reduction of Health Inequalities Between First Nations and Inuit and Other Canadians

First Nations and Inuit Health Programming and Services
The provision of health programs and services by Health Canada to First Nations and Inuit is rooted in the Federal Indian Health Policy. The Department provides health programs and services to First Nations and Inuit as a matter of policy, using the annual Appropriations Act to obtain Parliamentary approval. Together with First Nations and Inuit and other health partners, the First Nations and Inuit Health Branch through it's regional offices, delivers public health and community health programs on-reserve, these include environmental health and communicable and non-communicable disease prevention, and provision of primary health care services through nursing stations and community health centres in remote and/or isolated communities to supplement and support the services that provincial, territorial and regional health authorities provide. We also support targeted health promotion programs for Aboriginal people, regardless of residency (e.g. Aboriginal Diabetes Initiative) as well as counselling, addictions and mental wellness services. The Non-Insured Health Benefits coverage of drug, dental care, vision care, medical supplies and equipment, short-term crisis intervention mental health services, and medical transportation is available to all registered Indians and recognized Inuit in Canada, regardless of residency.

Internal Services
Internal Services are groups of related activities and resources that are administered to support the needs of programs and other corporate obligations of an organization. These groups are: Management and Oversight Services; Communications Services; Legal Services; Human Resources Management Services; Financial Management Services; Information Management Services; Information Technology Services; Real Property Services; Materiel Services; Acquisition Services; and Travel and Other Administrative Services. Internal Services include only those activities and resources that apply across an organization and not to those provided specifically to a program.

The Department is responsible for the administration and enforcement of the following statutes and/or regulations, for which the Minister of Health is responsible for the Department and remains accountable to Parliament: Canada Health Act, Canadian Centre on Substance Abuse Act, Canadian Environmental Protection Act, Controlled Drugs and Substance Act, Department of Health Act, Fitness and Amateur Sport Act, Food and Drugs Act, Hazardous Materials Information Review Act, Hazardous Products Act, Patent Act, Pest Control Products Act, Pesticide Residue Compensation Act, Quarantine Act, Queen Elizabeth II Canadian Research Fund Act, Radiation Emitting Devices Act, Tobacco Act, and the Human Assisted Reproduction Act.

2. Underlying Assumptions

The future-oriented Statement of Operations has been prepared on the basis of government policies, priorities and the external environment as at January 21, 2009. The statement has been prepared according to the requirements of Treasury Board Accounting Policies which are based on Canadian generally accepted accounting principles for the public sector. It has been prepared on the assumption that the resources provided will enable Health Canada to deliver the expected results specified in the Report on Plans and Priorities. The forecasting of future results was compiled on the basis of historical costs and trends.

3. Variations and Changes to the Forecast Financial Information

While every attempt has been made to accurately forecast final results for fiscal 2009-2010, actual results achieved are likely to vary from the forecast information presented and this variation could be material.

Once the Report on Plans and Priorities is presented, Health Canada will not be updating the forecast for any changes to appropriations or forecast financial information made in ensuing supplementary estimates. Variances will be explained in the Departmental Performance Report.

4. Significant accounting policies

The future-oriented Statement of Operations has been prepared in accordance with Treasury Board accounting policies which are consistent with Canadian generally accepted accounting principles for the public sector.

Significant accounting policies are as follows:

(a) Parliamentary Appropriations
Health Canada is financed by the Government of Canada through Parliamentary appropriations. Appropriations provided to the department do not parallel financial reporting according to generally accepted accounting principles since appropriations are primarily based on cash flow requirements. Consequently, items recognized in the Statement of Operations and the Statement of Financial Position are not necessarily the same as those provided through appropriations from Parliament. Note 5 provides a high-level reconciliation between the two bases of reporting.

(b) Net Cash Provided by Government
The department operates within the Consolidated Revenue Fund (CRF). The CRF is administered by the Receiver General for Canada. All cash received by the department is deposited to the CRF and all cash disbursements made by the department are paid from the CRF. Net cash provided by Government is the difference between all cash receipts and all cash disbursements including transactions between departments of the Federal Government.

(c) Forecasted Revenues
Revenues are accounted for in the period in which the underlying transaction or event occurred that gave rise to the revenues. Types of revenues collected include medical devices, radiation dosimetry, drug submission evaluation, veterinary drugs, pest management regulation, product safety, hospital revenues resulting from payments for services provided to First Nations and Inuit Health hospitals, which are covered under provincial or territorial plans, and for the sale of drugs and health services for First Nations communities.

Revenues that have been received but not yet earned are disclosed as deferred revenues.

(d) Forecasted Expenses
Expenses are recorded on the accrual basis:

Grants are recognized in the year in which the conditions for payment are met. In the case of grants which do not form part of an existing program, the expense is recognized when the Government announces a decision to make a non-recurring transfer, provided the enabling legislation or authorization for payment receives parliamentary approval prior to the completion of the financial statements;
Contributions are recognized in the year in which the recipient has met the eligibility criteria or fulfilled the terms of a contractual transfer agreement;
Vacation pay and compensatory leave are expensed as the benefits accrue to employees under their respective terms of employment;
Services provided without charge by other government departments for accommodation, the employer's contribution to the health and dental insurance plans, salary and associated expenditures of legal services and the worker's compensation coverage are recorded as operating expenses at their estimated cost.

(e) Employee future benefits
Pension benefits: Eligible employees participate in the Public Service Pension Plan, a multiemployer plan administered by the Government of Canada. The department's contributions to the Plan are charged to expenses in the year incurred and represent the total departmental obligation to the Plan. Current legislation does not require the department to make contributions for any actuarial deficiencies of the Plan.

f) Measurement uncertainty
The preparation of the future-oriented financial information requires management to make estimates and assumptions that affect the reported amounts of all the assets, liabilities, revenues and expenses reported in the future-oriented financial statements. Assumptions are based on information available and known to management at the time of development, reflect current business and economic conditions, and assume a continuation of current governmental priorities and consistency in departmental mandate and strategic objectives. At the time of preparation of the future-oriented statement of operations and accompanying notes, management believes the estimates and assumptions to be reasonable. Nonetheless, as with all such estimates and assumptions, there is a measure of uncertainty surrounding them. This uncertainty increases as the forecast horizon extends.

5. Parliamentary appropriations

Health Canada receives most of its funding through annual Parliamentary appropriations. Items recognized in the statement of operations and the statement of financial position in one year may be funded through Parliamentary appropriations in prior, current or future years. Accordingly, the department has a different net cost of operations for the year on a government funding basis than on an accrual accounting basis. The differences between net cost of operations and appropriations are reconciled in the following tables.

(a) Reconciliation of net cost of operations to current year appropriations: (in thousands of dollars)	2010
Net cost of operations	3,430,921
*Adjustments for items affecting net cost of operations but not affecting appropriations:*
*Add (Less):*
Services provided without charge by other government departments	(102,218)
Amortization	(27,954)
Employee severance benefits	(7,423)
Refund/adjustment of previous year's expenditures	25,351
Revenue not available for spending	11,181
Allowance for bad debt	(1,513)
Vacation pay and compensatory leave	(869)
Other	370
	3,327,846
*Adjustments for items not affecting net cost of operations but affecting appropriations:*
*Add (Less):*
Acquisitions of tangible capital assets	40,795
Net change to accountable advances	16
Appropriations available for use (forecast)	3,368,657

(b) Appropriations available for use (forecast):

(b) Appropriations available for use (forecast): (in thousands of dollars)	2010
Operating expenditures - Vote 1	1,788,379
Capital expenditures - Vote 5	40,795
Grants and Contributions - Vote 10	1,422,740
Statutory Amounts	116,743
Appropriations available for use (forecast)	3,368,657

6. Employee pension benefits

The department's employees participate in the Public Service Pension Plan, which is sponsored and administered by the Government of Canada. Pension benefits accrue up to a maximum period of 35 years at a rate of 2 percent per year of pensionable service, times the average of the best five consecutive years of earnings. The benefits are integrated with Canada/Québec Pension Plans benefits and are indexed to inflation.

Both the employees and the department contribute to the cost of the Plan. The expenses for 2009-2010, which represents approximately 2.6 times the contributions by employees, amount to:

Both the employees and the department contribute to the cost of the Plan. The expenses for 2009-2010, which represents approximately 2.6 times the contributions by employees, amount to: (in thousands of dollars)	2010
Expense for the year	84,232

7. Related party transactions

Health Canada is related as a result of common ownership to all Government of Canada departments, agencies, and Crown corporations. The department enters into transactions with these entities in the normal course of business and on normal trade terms. Also, during the year, the department will have received services obtained without charge from other Government departments as presented below.

Services provided without charge:
During the year the department is forecasted to receive without charge from other departments, accommodation, worker's compensation, legal fees and the employer's contribution to the health and dental insurance plans. These services without charge have been recognized in the department's Statement of Operations as follows:

Services provided without charge: (in thousands of dollars)	2010
Accommodation	38,885
Employer's contribution to the health and dental insurance plans	58,387
Worker's compensation costs	553
Legal services	4393
	102,218

8. Comparative information

Since this is the first year Health Canada has prepared future-oriented financial statements only the Statement of Operations and the accompanying Notes to the Statement of Operations have been compiled to forecast future-oriented results for the 2009-2010 fiscal year. Comparative figures have not been compiled as a result.

Health Canada's Regional Operations

Comprising over 30% of the Department's staff, Health Canada's regional offices (British Columbia, Alberta, Manitoba/Saskatchewan, Ontario, Quebec, Atlantic, and Northern) play a key role in ensuring that Health Canada's programs and policies are appropriately tailored to meet the health needs of each region's diversity, particularly in the areas of First Nations and Inuit health, inspection and surveillance activities, controlled drugs and substances, reduction of tobacco use, pesticides, safe environments and consumer, health and food products.

In 2009-2010 each Region will work with partners and stakeholders to strengthen its commitment to excellence in service delivery and ensure better results for the people of Canada through the following key activities:

The Atlantic Region will build on the strong existing relationships with partners, stakeholders and clients to bring a focus to regional compliance and enforcement priorities including counterfeit health products and post market safety of drugs.
La région du Québec, en collaboration avec la Commission de la santé et des services sociaux des Premières Nations du Québec et du Labrador, lancera un projet au Québec de dépistage de la rétinopathie diabétique chez les Premières Nations. L'objectif du projet vise l'implantation d'activités de dépistage de la rétinopathie diabétique en télésanté par le biais d'une caméra non mydriatique mobile. Le projet inclura également la prise en charge des personnes qui en sont atteintes par le réseau de santé du Québec.
The Northern Region will continue to work with Territorial governments to support ongoing and new strategic investments in health. This will include working with our partners to strengthen our capacity to help safeguard the health of Northerners; through the Federal-Territorial Assistant Deputy Ministers Working Group on Territorial Health Access and Sustainability, and develop options for renewed investments that ensures progress under current initiatives is sustained.
The Ontario Region, in partnership with Canada Border Services Agency, will work to expedite the inspection of health products arriving at all border points in Ontario. In 2009-2010, Health Canada Compliance Officers will examine thousands of shipments at the Toronto International Mail Centre and will work towards the goals of raising awareness for importation requirements and communicating the risks for purchasing health products via the Internet.
The Manitoba/Saskatchewan Region, in partnership with both the regional office of Indian and Northern Affairs Canada and the Government of Manitoba, will be working towards establishing processes to ensure prompt resolution to issues that may arise regarding the care of First Nations children in Manitoba with multiple disabilities (Jordan's Principle cases).
In the Alberta Region, a travelling team of experienced First Nations and Inuit Health (FNIH) Community Health Nurses has been developed to provide immunization and other chronic disease control services in First Nations communities where little or no nursing services exist.
The British Columbia Region will deliver a number of key initiatives in support of the upcoming 2010 Winter Olympic and Paralympic Games. Significant responsibilities include the planning, delivery and coordination to provide health safety services for public service employees, protect the health and safety of the traveling public, provide expertise and response capabilities and advice relating to chemical, biological, radiological, nuclear and explosive (CBRNE) events, border surveillance to prevent the entry of non-compliant health products and medical devices into Canada, and facilitate the entry of products for legitimate uses.

ARCHIVED - Health Canada

Archived Content

2009-10 Report on Plans and Priorities

Health Canada

Table of Contents

Details of Transfer Payment Programs (TPP)

Contributions for Bigstone Non-Insured Health Benefits Pilot Project (Voted)

Contributions for First Nations and Inuit Community Programs (Voted)

Contributions for First Nations and Inuit Health Benefits (Voted)

Contributions for First Nations and Inuit Health Facilities and Capital Program (Voted)

Contributions for First Nations and Inuit Health Governance and Infrastructure Support (Voted)

Contributions for First Nations and Inuit Health Protection (Voted)

Contributions for First Nations and Inuit Primary Health Care (Voted)

Contributions to the Organization for the Advancement of Aboriginal People's Health (Voted)

Grant for the Territorial Health Access Fund and Operational Secretariat (Voted)

Grant for the Territorial Medical Travel Fund (Voted)

First Nations and Inuit Health Services Transfer (Voted)

Contribution for the Indian Residential Schools Resolution Health Program

Grant to the Canadian Agency for Drugs and Technology in Health (Voted)

Health Care Policy Contribution Program (Voted)

Named Grant to the Canadian Patient Safety Institute (Voted)

Grant to the Canadian Partnership Against Cancer Corporation (Voted)

Grant to the Health Council of Canada (Voted)

Grant to the Canadian Institutes for Health Information (Voted)

Grant to support the Mental Health Commission of Canada (Voted)

Grant/Contribution in Support of the Federal Tobacco Control Strategy (Voted)

Contribution to the Drug Treatment Funding Program (Voted)

Contributions for the Drug Strategy Community Initiatives Fund (Voted)

Contribution Program to Improve Access to Health Services for Official Language Minority Communities (Voted)

Assessed Contribution to the Pan American Health Organization

Access to Safe and Effective Health Products and Food Information for Health Choices

Up-Front Multi-Year Funding

Grant to the Canadian Institute for Health Information

More and Better Data

More and Better Analysis

Improved Understanding and Uses

Canada Health Infoway

Canadian Health Services Research Foundation

Strategic Priority 1: Engaging Citizens

Strategic Priority 2: Accelerating Change

Strategic Priority 3: Promoting Policy Dialogue

Planned evaluations:

Teamwork Workshop Evaluation

Knowledge Brokering Evaluation

Extra Program Evaluation

Green Procurement

Sustainable Development Strategy

Horizontal Initiatives

Federal Tobacco Control Strategy (FTCS)

Chemicals Management Plan

Early Childhood Development and Early Learning and Child Care

Food and Consumer Safety Action Plan (Action Plan)

Table 7: Upcoming Evaluations (Next three fiscal years)

Sources of Respendable and Non-Respendable Revenue

Health Information and Claims Processing Services (HICPS) Major Crown Project

Project Phase:

Leading and Participating Departments and Agencies

Prime and Major Subcontractors

Major Milestones

Date

Major Milestones

Date

Major Milestones

Date

Major Milestones

Date

Major Milestones

Date

Major Milestones

Date

Major Milestones

Date

Statement of Management Responsibility

Health Canada

Future-oriented Statement of Operations

Notes to the Future-oriented Statement of Operations

1. Authority and purpose

Strategic Outcome 1: Accessible and sustainable health system responsive to the health needs of Canadians

Strategic Outcome 2: Access to Safe and Effective Health Products and Food and Information for Healthy Choices

Strategic Outcome 3: Reduced Health and Environmental Risks from Products and Substances, and Healthy, Sustainable Living and Working Environments

2009-10
Report on Plans and Priorities