:
Good morning. I call the meeting to order.
This is meeting number 10 of the Standing Committee on Public Accounts on Thursday, April 21, 2016.
If you weren't here earlier, I'll remind everyone that we are being televised today.
Today we are studying the fall 2015 report of the Auditor General of Canada, chapter 6, the Canada pension plan disability program.
We're thankful to have a number of witnesses again here this morning.
From the Office of the Auditor General we have Mr. Michael Ferguson, the Auditor General of Canada. We welcome you back, sir.
He is accompanied by Glenn Wheeler, a principal with the Auditor General's office.
From the Department of Employment and Social Development, we have Ian Shugart, deputy minister, and Benoît Long, senior assistant deputy minister, processing and payment services branch, Service Canada.
From the Social Security Tribunal of Canada, we have Murielle Brazeau, and also Margot Ballagh, vice-chairperson, appeal division.
From the Administrative Tribunals Support Service of Canada, we have Marie-France Pelletier, chief administrator, and Raynald Chartrand, executive director.
We have a number of opening statements from our witnesses, and again we welcome you all.
Auditor General, we will begin with you, sir.
:
Mr. Chair, thank you for this opportunity to discuss our 2015 fall report on the Canada pension plan disability program. Joining me at the table is Glenn Wheeler, principal, who was responsible for the audit.
The Canada pension plan disability program, or CPPD program, is the largest public benefit program for long-term disability in Canada. The CPPD benefit provides partial earnings replacement to someone who has made sufficient contributions to the Canada pension plan and who cannot work because of a severe and prolonged disability. Beneficiaries have a range of physical or mental disabilities. In 2013, almost 60% of beneficiaries were between 55 and 64 years old.
[Translation]
Employment and Social Development Canada is responsible for delivering the Canada pension plan disability program. The department reviews applications and determines whether applicants are eligible. If denied, applicants may ask the department to reconsider decisions. Applicants who still disagree with the department's decision after their applications are reconsidered may file an appeal with the Social Security Tribunal of Canada. The tribunal is independent from the department and started operating on the first of April in 2013.
We examined whether Employment and Social Development Canada assessed applications for the Canada pension plan disability benefit in a consistent and timely manner. We also examined whether the tribunal decided appeals in a timely manner.
Let me turn first to Employment and Social Development Canada. We found that the department met its service standards for assessing initial and reconsideration applications for disability benefits. However, it did not respect its guidelines for making faster decisions for applicants with terminal illnesses or grave conditions.
[English]
We also found that a high proportion of decisions were overturned at the reconsideration and appeal stages. In the 2014-15 fiscal year, 35% of initial decisions were overturned by the department at the reconsideration stage, and a further 67% of appeals were overturned by the tribunal or by the department before the tribunal decided the appeals.
The department did not have a quality assurance framework in place. Consequently, it did not have assurance that its medical adjudicators made appropriate and consistent decisions. As well, the department did not analyze the tribunal's appeal decisions to determine why the tribunal had overturned the department's decisions.
Furthermore, we found that the initial application for benefits was lengthy and complex, requiring the completion of many forms. Department officials stated that the application kit, totalling 42 pages, could take applicants several months to complete. Since March 2012 the department has made available to terminally ill applicants a condensed 11-page application.
[Translation]
Let me turn now to the Social Security Tribunal of Canada. We found that the tribunal did not decide appeals in a timely manner. This was partly because of Employment and Social Development Canada's poor transition planning before the tribunal was established. Once established, the tribunal was not ready to handle the inherited backlog of 6,585 appeals. It did not have the people, systems, or procedures in place to deal with its workload. For example, the tribunal expected to start operating with 96 employees, but had only 21 in place when it opened.
[English]
The tribunal was created to increase the speed and efficiency of the appeals process. However, we found that the number of CPPD appeals in the backlog was higher than it was before the tribunal was established.
In the 2014-15 fiscal year, as backlog issues worsened with the addition of new appeals, the average time it took to decide an appeal exceeded 800 days. This was more than twice the time it took three years before.
To help reduce the backlog, Employment and Social Development Canada further reviewed the files of some appellants who were waiting for a decision from the tribunal. The department determined that about a third of the appellants were in fact eligible for the benefit, meaning that eligible applicants could have been approved sooner.
[Translation]
Canadians who have contributed to the Canada pension plan and cannot work because of a severe and prolonged disability may have to rely on the program as a source of income. For this reason, we believe the program needs to be improved so that it is designed in a way that best serves applicants from the initial application to the awarding of decisions.
[English]
Employment and Social Development Canada and the Social Security Tribunal of Canada have agreed with our recommendations and have committed to take actions to implement them.
Mr. Chair, this concludes my opening remarks. We'd be pleased to answer any questions the committee may have.
Thank you.
:
Thank you, Mr. Chair, for the opportunity to be here with you along with my colleagues to address the findings and recommendations of the Auditor General's report, the audit on the Canada pension plan disability program.
I want to convey to the committee this morning how seriously we take this audit and how determined I and my team are to improve the administration of this program for the benefit of its clients.
We accept and agree with the recommendations. We will be the better for them and we are determined to do better for our clients.
Two of my senior ADMs are leading this file, Kathryn McDade and Benoît Long, and they will assist me in answering your questions this morning.
[Translation]
The Auditor General’s report identifies a number of significant concerns and makes important observations about a program that serves some of the most vulnerable Canadians. My department agrees with the Auditor General’s recommendations, and we have implemented a detailed management action plan to address each of them.
Before I describe that plan, I would like to provide a bit of context about the program. The Canada pension plan disability program was introduced in 1966, making this its fiftieth year. It is the largest long-term disability program in Canada for working-age people with disabilities. In 2014-15, my department provided over $4.2 billion in benefits to more than 328,000 Canadians and 82,000 of their children.
This program is not Canada’s only long-term disability program. Provincial and territorial governments, as well as private insurers, also provide disability benefits. It is estimated that every year Canadians receive between $22 billion and $26 billion in disability benefits.
To qualify for benefits, individuals must have made sufficient contributions to the Canada pension plan, and they must demonstrate that they suffer from a “severe and prolonged” disability that renders them unable to work. This is a stringent test that requires medical evidence regarding an individual’s work capacity. Gathering and evaluating this evidence can be challenging for both our applicants and our adjudicators. The evidence is not always straightforward, and medical conditions often evolve over time.
[English]
The audit found that there were challenges for my department—indeed, shortcomings for the department—in three main areas, which I will address in turn: the timeliness of our decisions, the consistency of our decisions, and our openness to working with claimants and beneficiaries to learn from their experiences.
On timeliness, a key finding of the audit is that it takes too long for clients to access the program. We have committed to improving the application process, in particular by leveraging online and electronic systems as part of a broader service improvement strategy for the Canada pension plan.
With the consent of our clients, we will also work with other providers of long-term disability support, such as private insurance companies, to share information and thus reduce the burden on clients, who often have to provide the same or similar medical information multiple times.
As we committed to in the management action plan, we have also recently completed a review of service standards across all of our national pension programs, including CPPD. We will be introducing CPPD service standards after consulting with clients and stakeholders, and that will be in the near future. The standards will be achievable, while at the same time challenging the department to continually improve our service delivery.
One of the most troubling findings in the audit is that we are not meeting our own service guidelines for applicants with terminal illnesses and grave conditions. To address this, a prototype project was launched in January to test new ways of processing these specific applications. Early results from that pilot have informed the development of the new service standards for these applications. These standards recognize the urgency of the situations faced by these clients. We believe they will be achievable and will provide more certainty for this particularly vulnerable client group.
On consistency of our decisions, the audit recommends the implementation of a formal quality assurance framework to ensure that our decisions are appropriate and consistent. The department recognizes the importance of collecting business intelligence on our decisions, not only for the purpose of providing feedback to our department's decision-makers but also to help inform continuous improvement in program policy and service delivery. We have completed our work to develop a quality assurance framework and have begun its phased implementation.
On openness, in an effort to be more open and responsive, to demonstrate a better attitude to our clients, we have renewed a dialogue with CPPD clients and stakeholders. Our aim is not only to seek their input on implementation of the specific actions in our management action plan but also to establish a sustainable, ongoing process for stakeholder and client input in the management of the program.
We initiated this dialogue on February 17 at an event that was attended by senior officials and by our minister, the . We received feedback at that meeting on our response to the Auditor General's report, as well as concrete suggestions on implementation of an ongoing process for client and stakeholder engagement.
[Translation]
My colleagues are here to speak to the findings and recommendation of the Auditor General related to managing recourse for clients who choose to appeal a decision of the department to deny CPPD benefits.
As you are aware, the Social Security Tribunal of Canada is an independent administrative tribunal. The Auditor General has documented the significant challenges the SST faced when it began operations in April 2013. The SST was transferred a significant number of appeals by its predecessor tribunals, the vast majority of which pertained to the program.
As the audit notes, as of December 31, 2014, the SST’s inventory of CPPD appeals had reached nearly 11,000 cases. This resulted in unacceptable delays for clients awaiting a decision on their appeal.
[English]
To assist the Social Security Tribunal with its own efforts to reduce the inventory, the department assembled a specialized multidisciplinary team that was able to review more than 10,000 cases between December 2014 and the end of summer 2015 and to offer settlements where possible.
As a result of these joint efforts with the SST, the inventory of CPPD appeals has now been reduced by more than half and remains on a downward trajectory. Our review of over 10,000 case files also provided invaluable insights into our decision-making process. This is informing our work to renew the program, and in particular the improvements to the supports and tools for decision-makers.
My colleague Ms. Brazeau will provide further detail on the current performance of the SST. I want to emphasize to the committee this morning our commitment to continuing to work collaboratively with the SST.
Finally, I recognize that having a management action plan is necessary but not sufficient for success. The plan needs to be well executed. I have elaborated on some of the details of our action to this point to give the committee some assurance that we are in fact executing that plan. In that respect, I'm confident that we have the right governance to deliver on our management action plan.
First, we have established a multi-branch working group that is responsible for implementing the activities set out in the plan and which reports to me on progress—and, if necessary, course corrections—on a regular basis.
Second, a supporting committee chaired by my associate deputy minister has been created to monitor the SST inventory, assess progress in implementing the plan, and ensure seamless communication with the SST.
In closing, I would like once more to acknowledge the Auditor General's contribution to ensuring that, going forward, CPPD benefits are provided on a more timely and consistent basis and that the program will be more responsive to the feedback of our clients and stakeholders.
We will be better as a department for this audit, and our clients will be better served as a result of this process.
Thank you, Chair.
We are here to discuss the Auditor General's report pertaining to the Canada pension plan disability program. The tribunal fully supports the Auditor General's recommendations.
I will provide you with some background about the tribunal, explain the measures taken to resolve our initial challenges and to address the Auditor General's recommendations, and outline the positive results to date.
[Translation]
The Social Security Tribunal is an independent administrative tribunal that makes quasi-judicial decisions pertaining to the Canada pension plan, the Old Age Security Act and the Employment Insurance Act. The tribunal is comprised of a general division and an appeal division, and all decisions are made by single members. The general division has an employment insurance section and an income security section. This new tribunal was designed to replace four separate tribunals, and its mandate is to offer fair, impartial and efficient appeal processes for Canadians.
[English]
The Auditor General's report examined the first two years of the tribunal's existence, from April 1, 2013, to May 2015.
The report concludes that the poor transition planning before the tribunal opened its doors led to the transfer of a large backlog of appeals that the tribunal was not ready to manage. The report also notes that this large backlog contributed to the tribunal's growing backlog and to the time it took to decide appeals.
The tribunal agrees with these findings and with the Auditor General's recommendation that we review our policies and practices to ensure expeditious appeal decisions, and we are continuing to make progress on this front.
The Auditor General's report already details the situation we faced when the tribunal opened its doors. Suffice it to say that we were understaffed and under-resourced. There were no infrastructure, systems, or operational processes to manage the income security caseload, and we were overwhelmed by a huge backlog of 9,000 appeals from the former tribunals. Close to 7,000 of these appeals were the Canada pension plan disability appeals. Basically we needed to put in place a solid foundation for the future while at the same time dealing with both the inherited backlogs and the new incoming cases.
[Translation]
The situation was very difficult for us in the tribunal, but it was totally unacceptable for appellants, their families, and Canadians generally. We prepared a comprehensive action plan to obtain all the necessary resources to implement a stable infrastructure for the tribunal. Since the inception of the tribunal, we have collaborated with the department and with the minister to secure additional full-time and part-time members to increase the total number of employees required to meet the tribunal's mandate.
[English]
At the beginning, the tribunal started with seven members assigned to the income security cases. More members were gradually appointed and trained so that by December 2014, 40 full-time members and 22 part-time members were ready to decide income security cases. More staff were gradually hired and trained, and we now have 150 employees supporting the tribunal, which is seven times more than the 21 employees we had when we started.
The case management system and operational processes required to manage, assign, hear, and decide income security appeals were developed and implemented, and we continue to review and improve them. The case management system is now sufficiently developed to provide accurate data that allow us to monitor and manage the caseloads and member performance. We continue to improve the quality of our decisions through legal support and an ongoing training program for our members.
[Translation]
Besides working closely with the department, we also focused on developing relations with our other stakeholders. As a result of our ongoing exchanges, we have made a number of improvements: for example all decisions of the appeal division are now being published, our website content has been improved, useful tools have been provided to parties, and we made positive changes to our toll-free line.
Implementing these measures required resources and staff, but most importantly, it required time. With all these initiatives, and with more settlements from the department, we are now showing positive results. Our backlog and total inventory has decreased significantly.
[English]
As of this Monday, April 18, we have received a total of 17,707 disability appeals. That's since opening our doors on April 1, 2013. Of those, 13,200 have now been completed. Our active inventory is now reduced to 4,507 disability appeals, which is 32% lower than the number of backlogged cases we inherited on day one.
The average age of our total Canada pension plan disability caseload is now at 317 days. We have implemented service standards, committing to decide 85% of new cases within five months of the appeal becoming ready to proceed. We will continue to reduce our inventory of cases, and we expect to be able to meet our new service standards with the current rate of incoming files, number of members, and available resources.
[Translation]
We have worked very hard over the past three years to get where we are today, and I am very proud of the considerable progress accomplished. Nothing is more rewarding to us than receiving positive feedback from our appellants and stakeholders who recognize the progress we have made and thank us for the work we have accomplished to date.
[English]
As the Auditor General documented, the tribunal faced significant challenges and pressures at its onset. We took control, developed a plan of action, secured the necessary resources, and established a solid foundation that allowed the tribunal to process appeals in a fair, impartial, and efficient manner.
As we continue to move toward a more stable environment and continue to increase our use of technology in this high-volume tribunal, I am confident that we will be recognized for our innovative and efficient approaches that improve access to justice for Canadians.
[Translation]
Thank you for your attention.
[English]
Mr. Chair, I'm happy to answer any questions.
:
Thank you very much, Mr. Chair.
Thank you to the committee for allowing me to be here today.
As Mr. Chair has indicated, with me is Monsieur Raynald Chartrand, who is the executive director for the secretariat that supports the Social Security Tribunal.
I'd like to begin by describing the role and mandate of the Administrative Tribunals Support Service of Canada, or ATSSC for short, and specifically its role in supporting the Social Security Tribunal.
The ATSSC was established on November 1, 2014, with the coming into force of the ATSSC Act. Our organization is responsible for providing support services and facilities to 11 administrative tribunals by way of a single integrated organization.
These services include the specialized services required by each tribunal—that is, registry, research and analysis, legal services and other mandate and case-specific work—as well as corporate services, which include human resources, financial services, accommodations and security, and information management and technology.
[Translation]
The provision of these services enables the tribunals to exercise their individual powers and perform their unique duties and functions in accordance with their respective legislation, rules and regulations. The purpose of the Administrative Tribunals Support Service of Canada, or ATSSC, is to improve the tribunals' capacity to meet their needs, achieve efficiencies through economies of scale, and improve access to justice for Canadians.
[English]
This year our organization has planned for expenditures of $82 million and a staff of 550 employees. We support the nearly 200 Governor in Council appointees who are members of the 11 administrative tribunals.
The Social Security Tribunal is the largest we support. It comprises 90 members, and currently 150 employees are dedicated exclusively to the tribunal. This year's funding to support the tribunal is set at $18 million.
[Translation]
From April 2013 to November 2014, the tribunal received all of its support services from its portfolio department, Employment and Social Development Canada. Since November 2014, the ATSSC has been responsible for providing the tribunal’s support services, and we have been providing the specialized support services (registry, legal, research, etc.) directly to the tribunal since then.
[English]
In terms of corporate services, an arrangement was made for those services to continue to be provided by the department on behalf of the ATSSC to allow for a full but gradual transition to the ATSSC over three years. Given that the tribunal's operations had been embedded in the department previously, many corporate systems were also integrated into those of the department. It was therefore more prudent for those transferred to be phased in over time to minimize any risks to the tribunal's operations.
This was especially important at a time when the tribunal's focus was on reducing the backlog in CPPD appeals in addition to delivering on the other parts of its mandate.
[Translation]
We are satisfied that these internal services have been appropriately provided by the department on our behalf, and we are currently in discussions with the department to plan the transition and begin the transfer, in phases, of these services to the ATSSC. As the chairperson for the Social Security Tribunal just indicated, the tribunal has been working hard in the last three years to set up necessary systems, processes, policies and practices that ensure fair, impartial and expeditious processing of appeals. The ATSSC has been diligent in supporting the tribunal in its endeavours in all areas of its mandate, including in the area of income security.
[English]
As relates to the Auditor General's review of the Canada pension plan disability program, the ATSSC assumed responsibility for the tribunal's support services in the last seven months of the review period. Along with the tribunal, the ATSSC agrees with the findings and recommendations in the report, and it will work with the tribunal to provide the necessary support in responding to those recommendations and in implementing the action plan.
To this end, I would like to note that several improvements have already been achieved in addressing the two recommendations in the Auditor General's report.
[Translation]
In relation to data quality, there have been five updates to the tribunal’s case management system since November 2014. Each update enhances the system’s capabilities in reporting and quality assurance functionality. For instance, the case management system is now able to track the receipt of notices of readiness from parties; allow vice chairpersons to assign files to members; and reflect the business appeal process in all divisions through automated workflows. Those are but a few of the improvements carried out each new update to the system. Several more updates are planned for the upcoming year, which will continue to address the action plan and will ultimately improve the tracking and reporting of the tribunal’s statistical data.
[English]
In relation to the review of policies and practices, the ATSSC has worked closely with the tribunal to improve a number of aspects of its operations. To begin, we proceeded with hiring additional staff to support tribunal operations and backlog reduction efforts.
Among these new employees are employees assigned to a call centre to communicate directly with parties to provide timely and relevant information on their cases. Other new employees are legal service employees who, in addition to providing legal counsel, participate in the development of guidelines and tools that assist members in making quality decisions. As well, communications and IT employees were hired to publish the tribunal's decisions on its website and provide remote IT support to members located across the country.
[Translation]
Other ATSSC employees worked with the tribunal to develop more than a dozen operational instructions in the income security sector alone. These instructions provide written and clear guidance for registry employees, which ultimately reduces the number of potential errors and allows them to work faster and more efficiently.
Despite all that has been accomplished thus far, our work is by no means done. The action plan that we share with the tribunal outlines several areas in which we will focus our efforts in the coming months.
[English]
Further enhancements of the case management system and the quality of statistical data will be undertaken. We will give continued attention to making operational processes more efficient and we will seek out advice in so doing.
We are committed to continuing to support the tribunal in all aspects of its mandate, a mandate that is so crucial to the lives of so many Canadians.
This concludes my remarks, Mr. Chair, and I will be pleased to respond to questions.
Ladies and gentlemen, thank you for being here to testify before us today.
Upon reading the report of the Auditor General, Mr. Ferguson, and the analysts' findings, I am extremely shocked to see that a service that is supposed to be provided to Canadians effectively, quickly, and very humanely has taken a terrible turn. What shocks me the most is not so much the Tribunal—it is fairly new and we need to give it time to iron out any wrinkles—but very much the disability program itself.
As you said, Mr. Shugart, the program is 50 years old. How did we get here? How did we get to some of the observations that Mr. Ferguson is raising with us? I find it absolutely incomprehensible that so many cases were rejected, but in the end, upon review or when the complainants took their cases to this tribunal, you see that they should have been granted the disability pension after all. You have not even started processing these types of requests. How is it that in 2016, we are still processing such onerous files in paper format? I cannot fathom why a person with a terminal illness still has to fill out an 11-page questionnaire.
I would very much like to have answers to these questions because I am really astounded by this.
:
Yes, and that is what we have been working to streamline and simplify. We're dealing—until the time of the audit, frankly—with many legacy issues, the continuance for too long of a particular application process and decision process.
As I indicated, as part of our CPP service improvement strategy, we are progressively moving to an online and electronic system to reduce the paper burden. However, the legacy of these programs has for too long been a paper-based system. That adds complexity and has added inordinately to the time. That has to change, and it constitutes a very significant part of the application process.
With respect to the decisions on appeal—please understand that this is in no way an excuse—there are going to be inevitably some reversals of the decision on appeal, for a variety of reasons. The decision-maker on appeal believes, in good faith, that the initial decision—taken, I would assert, in good faith—is incorrect, that the initial decision-maker just got it wrong, and the decision is overturned.
The second thing, which actually happens very often, is that the applicant's situation has changed over the course of the review, and often what would correctly have been an unfavourable decision becomes now, because of new evidence—the evolution of the patient's condition, or for that matter, new medical knowledge—a different decision. That will, to some degree, always be the case.
The third category was that when we put together this team of people to go through this backlog as rapidly as possible, we asked them, in cases in which on a balance of probabilities the decision would be reversed, to make that decision quickly and not let it go through the rest of the process.
Those are the three kinds of situations that will lead—or did lead, in this case—to an overturned decision.
These are, even in cases in which the ultimate decision is not in favour of the client, difficult situations. At their very best they are very difficult situations. The initial adjudicator has to make those difficult decisions on the basis of the evidence, and the reason for there being an appeal process is to catch any errors or to make a different decision.
:
All right. So the number of appeals has declined precipitously over the last year to 16 months, roughly.
I think part of the reason for this success is that the department, under the leadership of Deputy Minister Shugart, established something that was colloquially known as the “spike unit”.
I don't think you ever liked that term, but anyway, it caught on.
This was a group basically of doctors, lawyers, and other experts who reviewed previously denied cases that were up for appeal and, as you said today in your testimony, granted those cases that, on the balance of probabilities, were likely to succeed at the tribunal.
Can Deputy Minister Shugart confirm whether that unit continues to be in operation? As the backlog continues to dissipate and is eventually eliminated, what is the future of that unit, and how can its work be integrated into the long-term process of turning around fair decisions quickly for CPPD applicants?
:
Thank you very much, Chair, and thank you all for your participation today.
I have to tell you, what a shemozzle. It's the only word that comes to mind. It's just a total shemozzle. You have to wonder where the minister and deputy minister were in the wheelhouse. Were they sleeping?
I want to start at the beginning, because I've been around here a very long time—some might say too long. However, be that as it may, I've seen a lot of sophisticated tools come through, used by some incredibly intelligent, professional people who can do amazing things before anything starts. I'm talking about the planning. Parts of this we've been doing now, as a government, for the better part of half a century.
Again, similar to what we were dealing with in the armed forces when they didn't seem to be able to provide adequate housing for their people, when we're talking about infrastructure to distribute benefits that people need in order to live, you'd think there would be a little better planning at the front end. I'm really going to make an issue out of this, because I want to know why. All of you are on notice. I want to know how the hell we got here. We'll deal with what it resulted in and the mess that came as a result, but I want to know how the hell we got from the point of putting a plan on paper to move forward, and then for it to fail so spectacularly.
I don't need to build the case—it's there in itself—but let's start with the Auditor General's opening remarks.
He said that once established, the tribunal was not ready to handle the inherited backlog of 6,585 CPPD appeals. It did not have the people, systems, or procedures in place to deal with its workload. For example, the tribunal expected to start operating with 96 employees; it only had 21 when it opened.
Madame Brazeau said, “Suffice it to say that we were understaffed and under-resourced. There were no infrastructure, systems, or operational processes to manage the income security caseload, and we were overwhelmed by a huge backlog of 9,000 appeals from the former tribunals. Close to 7,000 of these appeals were the Canada pension plan disability appeals.”
The heading in the Auditor General's report on page 16 says, “Poor transition planning by the department led to the transfer of an unmanageable backlog of appeals to the Social SecurityTribunal of Canada”.
I could go on and on. When we look at examples, the auditor said:
We found that although the Department established a plan to transition CPPD appeals to the Tribunal, the plan included unrealistic target dates and planning assumptions. This led to a backlog of appeals that the Tribunal was not ready to manage....
It's so plain. The planning assumption was that the new Social Security Tribunal regulations were supposed to be approved in November 2012. They were approved on March 28, four days before the tribunal began its work. Somebody give me some reason as to how one of the biggest departments in Canada planned a new system to correct an old system that wasn't working, and when it took over, it was worse than the one it took over. How did that happen? Who's responsible?
Let's start with the deputy.
:
As the deputy minister indicated, we agree that our decisions and the processing of these applications need to be quicker, especially in the case of people who are terminally ill.
At the department, the 48-hour deadline is a guideline. Case monitoring and management was not as good as it should have been. As part of our service standards review, we are going to recommend setting a real standard, which will be public. The level of performance will be accessible to clients, directly, so that they can be reassured and assured that we are going to apply the standard when these decisions are made. We are reviewing the entire process.
In January, we launched a pilot project in Victoria. We are auditing and testing practically every imaginable approach, including receiving material, requests, internal procedures, case management, or dividing up tasks. Everything is on the table and being looked at. We want to make sure that we can implement this new service standard. Of course, we hope to be able to implement it as soon as possible.
So far, the pilot project is showing that we will achieve much higher levels of performance, as well as a quality and assurance of service that will make people see, through this process, that we are on their side.
:
Mr. Chair, I think the committee will understand that we are charged with the administration of the program under the terms of the legislation, and the legislation sets the standard of “grave and prolonged” as the test.
That is a very high standard, and there are in fact situations in which that test is not met by the applicant on the basis of the medical information that is provided. The adjudicators are charged under the terms of the legislation with making a decision on the basis of the medical evidence according to that test.
I need to be clear that those are parameters. It is indeed a very strict test, and has been since the beginning of the CPP legislation.
To answer your question about the experience of the client and the engagement, this in fact is one of the areas in which we are, I think more demonstrably, going to be adjusting the system. We have already begun a process—which I indicated, and it will become continuous and much more interactive—of engagement with clients and the stakeholders who work with these clients, to learn from them the implications of their lived experience for the administration of the program in terms of such things as real-time exchange of changing medical information and so on. That will become part of the process, and out of it will come, on a continuous basis, new tools for improved adjudication of these cases.
Whether through call centres or in person, as Mr. Godin indicated, we will be improving our training of staff so that they are in a better position to interact with clients and be as helpful to those clients as we possibly can be.
The application process itself is a substantial move in that direction. Benoît has indicated that of necessity it is no simple, ordinary.... It's not like an application for a driver's licence; it is dealing with a completely different order of complexity. However, we have reduced it to roughly a quarter of the earlier complexity of the application process. That is progress, and we're committed to being as engaged with the clients as we possibly can be.
First off, I want to say to the deputy that I appreciate very much and respect the fact that you've stepped forward and taken the blame, and that's not easy. People need to understand that deputies don't particularly like to have files they've been responsible for with a great big “failed” on them, and there is good reason to want to avoid that. I appreciate very much the fact that you weren't....
I want to say this to mitigate your circumstance somewhat: having been a minister, I understand the limitations. I have great respect your restraint in keeping the blame all yours, but the fact of the matter is that any time you're dealing with a government that was that headstrong in austerity programs, I can only imagine the kind of pressure that you were being given, and I say, partly tongue in cheek, that it can't be easy taking direct orders from my shy, retiring colleague Mr. Poilievre.
You mentioned also that the reason for the audits was to find these kinds of things. I would like to overlay that by saying that one of the reasons we do these audits, this whole process, is not just to make your life hell for a day, although that's part of it, but also to change behaviour so that other deputies are looking right now and saying “Thank goodness that's not me” and making sure that they aren't in that situation, and that the associate deputy ministers are also understanding that they have some responsibilities here.
In whatever little time I have left, I'd like to swing over to the Auditor General to ask what should have happened at the front end to ensure that this didn't happen. Where was the oversight from Treasury Board or somewhere else? Where were they in all of this? How could this get so far out of hand?
Those are two questions. At the front end, what could they have done differently to avoid this outcome? Secondly, was there anybody else responsible for some oversight here who needs to be held to account?
:
Mr. Chair, this is the way I would respond to that. I think what needed to happen was perhaps just some more monitoring along the way by the department itself to determine whether this program was on the rails.
For example, we identified in here that in 2011 the department had completed an evaluation of the program and had found that both applicants and department employees saw the application forms as long and complex. Employees suggested combining the application form, consent form, and questionnaire into one form, but they didn't do that at that point in time. There were some things already being identified, but action wasn't being taken.
The types of issues we raised were raised by going in and looking at some things. It was essentially like a quality assurance type of program. We referred to the fact that the department didn't have that feedback loop of learning from why something was being overturned later on, and from that, whether it could learn something that would help it to do a better job at running the program.
On the transition to the tribunal, the deputy has said that they were too aggressive with their assumptions. Unfortunately, I don't think that's necessarily something that has only happened in this case, and I'm not just referring to this department. I think that's something that happens fairly often. When they are planning a large change, they need to make sure they're building in sufficient time to deal with the unknown sets of circumstances that come around.
If I were going to try to sum it up, essentially there wasn't enough attention paid to understanding how well this program was working within the department, I would say, because there would have been some things they could have done to make the program work better.
:
Chair, I have a couple of points in that regard. I did refer to the service standards. We have completed that work, as we indicated. We have not published them yet. We intend first to review those service standards with clients and stakeholders. I want to engage with my minister on those proposed standards before we publish them, but the analysis work has been done and was completed by the target date. The numbers will be published in a reasonable time frame.
I would add to the comment of the Auditor General—and this is in answer to your question—that one of the failings we too frequently have across government is doing things according to the law, according to the best procedures we have at the time, and in good faith, but without the systems in place to report as we go on how well we are doing.
In other words, we do our job, but too frequently we don't know how well we are doing it because we don't have in place the internal systems to give the assurance—to use the Auditor General's language—that the performance is in place. That is one of the things in this program we will be putting in place, so we can know, in real time, how well we are doing relative to those performance standards.
The benefit is obvious. You have in real time, every day, for the officers and their managers, a little bit of an Auditor General's report. It's the performance against the standard. At the moment we do not have those assurance mechanisms in place, and that is one of the things we are putting in place.
On the question of the quality assurance framework, we did provide the Auditor General's office with information that in fact we had developed elements of a quality assurance framework. We did, for example, strengthen the mechanisms for communication with medical adjudicators to ensure they had better up-to-date information on the medical dimensions of these conditions they were looking at. We also identified over 30 grave conditions, which would be in the category that you referred to, which should, when they are encountered, lead to expedited decision-making.
There is no doubt—although, for reasons I just stated, I can't prove it to you today—that those elements of that quality assurance framework had a beneficial impact on the clients. I do accept the observation of the Auditor General that a robust, thorough quality assurance framework, although it had been developed in part and implemented in part, was not robust and put in place.
:
As I mentioned earlier, when we opened our doors, we received 7,000 disability appeals, and we were not able to assign these appeals immediately because the parties had one year to confirm they were ready.
The Auditor General concluded that this situation increased the backlog, which increased the time it took to hear appeals, and thus the 800-and-some days. As soon as the tribunal could schedule cases and assign them to the tribunal members, we did so. In 2014 we did assess a performance measure for our members. We indicated to our members that our expectations were they would conclude 10 cases a month.
As the Auditor General found, in the first year they were concluding about six cases a month on average. In 2014-15, I'm happy to report, they were concluding 11 cases a month.
What that confirms is that it takes time for our members' capacity to ramp up. It has taken time for them. This is a complex issue. As my colleague indicated, they have to establish that their medical condition is severe and prolonged. It means our members have to look at the case and consider and assess the evidence. It is a complicated matter, and it is taking them time.
We are comfortable with 10 cases a month on average. Some of our more experienced members are doing more. The less experienced are doing fewer cases, but on average it is going well.
I am taking responsibility for their performance.
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My last point, I guess, is on this 317 days that we've moved to.
For me, not as a politician but just as a person, previous to running for politics, as an employer of people who have had to go this route, I had an employee who spent two and a half years in this process. His problem directly affected his vision, and it didn't affect his vision any less on the first day than it did two and a half years later, so the 317 days, to me, is still....
It's great that we've gone from where we were to here, but realistically I think that's still a very large number and that we need to make a transition to at least 180 days, or half of that, for a wait time.
As government, I think it's very easy for us to recognize.... When we talk in terms of hearings and different departments, and about cases, files, backlogs, and targets, it's a very high-level approach. We don't talk about the fact that when you talk about 317 days or 845 days, we're talking about the direct impact that has on somebody's financial situation, somebody who, nine times out of ten, or for a large percentage of the time, has paid into a system over the last 40 or 50 years of their life, or the 35 years of their working career, and has worked extremely hard. I think we need to do a better job of recognizing this on a case-by-case basis and putting a humane approach back into it.
Unfortunately, our time is up or close to up, but first of all, thanks to all of you for coming.
To our Auditor General, thank you again for your report, Mr. Ferguson. Certainly we can see where there has been some success here now, but we still hope for more.
To that end, Mr. Shugart, would it be possible to get a progress report in, say, six months in regard to the backlog and also in regard to the client contact that we have? I know that you've said here that you want to improve on that.
Also, with regard to the approval rate of some of these cases, I'd be interested to know...I don't know if you'd call it the denial rate, but I'd be interested to know the approval rate.
As well, you said that by October you are going to have the service standards in place but that they may be published even sooner than that. When you say “published”, is that public?