HESA Committee Report
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List of Recommendations
As a result of their deliberations committees may make recommendations which they include in their reports for the consideration of the House of Commons or the Government. Recommendations related to this study are listed below.
Recommendation 1: Rebuilding the Task Force
That the Government of Canada, in consultation and collaboration with specialty societies, specialist physicians, primary care providers, patients and allied scientists, as needed, work toward rebuilding a Canadian Task Force on Preventive Health Care that has:
- an appropriate governance and accountability structure;
- full and appropriate transparency;
- ethics oversight;
- content‑expert leadership with methodologist assistance; and
- respect for academic freedom.
Recommendation 2: External Expert Review of the Task Force
That the Public Health Agency of Canada accelerate the External Expert Review that will examine the processes and parameters of the Canadian Task Force on Preventive Health Care and provide recommendations to improve the Task Force to ensure a timely response to emerging needs and expectations of Canadians.
Recommendation 3: Consultation on the Task Force
That the Government of Canada consult with the medical community and other stakeholders on:
- the selection of the members of the Canadian Task Force on Preventive Health Care;
- the integration of specialists into the Canadian Task Force on Preventive Health Care;
- increased transparency in the process for developing recommendations; and
- enhanced accountability to the Canadian public;
and that the recommendations flowing from this consultation be presented to the House of Commons Standing Committee on Health and to Parliament within one year of the close of the consultation.
Recommendation 4: Expert Review of Guidelines
That the Chief Public Health Officer convene with senior provincial and territorial officials and key experts to review the breast cancer screening guidelines of the Canadian Task Force on Preventive Health Care and to share their best practices.
Recommendation 5: Monitoring Outcomes of Guidelines
That the Government of Canada work with Statistics Canada and the relevant content experts to implement measures to audit outcomes associated with the recommendations of the Canadian Task Force on Preventive Health Care.
Recommendation 6: Responsiveness
That the Government of Canada implement a process for developing more frequent updates to guidelines that would be responsive to the rapid evolution of the areas of breast cancer detection and treatment.
Recommendation 7: Up‑to‑Date Modelling
That the Government of Canada immediately work with Statistics Canada and the Canadian Partnership Against Cancer to ensure that the OncoSim cancer models are updated with respect to accuracy and relevance.
Recommendation 8: High‑Risk Programs
That the Government of Canada, in consultation and collaboration with specialty societies, specialist physicians, primary care providers, patients and allied scientists, work with provinces and territories to implement at the soonest possible date a process for developing guideline recommendations for women who are at higher-than-average risk for developing breast cancer and provide funding for high‑risk programs.
Recommendation 9: Data Collection
That the Government of Canada work with Statistics Canada and/or provincial and territorial agencies to provide resources to ensure that data on breast cancer are collected on a more granular basis with respect to ethnic and racial factors, breast density, mode of detection of breast cancer, stage, characteristics of disease and recurrences.
Recommendation 10: Public Health Awareness Campaigns
That the Government of Canada, in consultation and collaboration with the provinces, territories and Indigenous peoples, work with the Public Health Agency of Canada:
- to rapidly develop and swiftly implement public health awareness campaigns promoting the value of screening and providing accurate, accessible information to physicians and the public on both the benefits and limitations of breast cancer screening; and
- to rapidly develop and swiftly implement public health awareness and education strategies specifically targeting adolescent and young adult women, Indigenous and racialized communities, as well as the health care professionals who serve them, to address knowledge barriers regarding early detection and reduce disparities in the stage at which breast cancer is diagnosed in women.
Recommendation 11: Research Investments
That the Government of Canada invest funding to improve breast cancer research.
Recommendation 12: Appropriate Funding
That the Government of Canada ensure that the provinces and territories receive appropriate levels of funding, through increases in Canada Health Transfer payments and/or by other means, to enable them to:
- enhance breast cancer screening programs;
- allow women who are 75 or older to continue screening for breast cancer where clinically appropriate;
- ensure adequate capacity for breast screening and diagnostic programs and support supplemental screening, which may include MRI, ultrasound, tomosynthesis and contrast‑enhanced mammography for people with dense breasts;
- provide solutions to access health care providers through screening programs and offer support to people without a regular health care provider; and
- reach communities that are underserved.
Recommendation 13: Investment in Health Human Resources
That the Government of Canada ensure appropriate funding to the provinces and territories through increases in Canada Health Transfer payments to enable them to invest in health human resources.