The Health and Social Development Secretariat is part of a National Working Group to develop the long-term care framework. AFN, INAC and Health Canada are the partners in a submission to create policy to guide the development of long-term care including personal and special care homes. Preliminary discussions are underway between DIAND and FNIHB with AFN involvement with respect to conducting an analysis of the issues employing research methodology that will enable accurate projections for long- term services utilization.

Saskatchewan First Nations communities continue to move forward with innovative expansion of their programs despite adversity and challenges. This has been accomplished/supported by the various working groups including: The Saskatchewan First Nations Home Care Working Group, NITHA Home Care Group, South Bands Group, Policy Review Subcommittee and the Chart Review Committee. FSIN will continue to lobby for adequate resources to provide 2nd and 3rd level services to the Home and Community Care program at all levels. The AFN has prepared a document providing an overview of the sustainability issues but it needs to be validated.