Alberta
Sun setting on AHS as first of four provincial health agencies, Primary Care Alberta set to launch
Primary Care Alberta, the new provincial health agency overseeing and coordinating the delivery of primary health care services, will become operational later this fall.
Alberta’s government is taking action to refocus the health care system so that every Albertan has access to a primary health care provider and timely, high-quality primary health care, no matter where they live.
Alberta’s new primary care provincial health agency, Primary Care Alberta, will create a modern, more responsive and unified health care system that prioritizes patients, empowers front-line health care professionals and helps reduce pressures on the entire health system.
The immediate priority of Primary Care Alberta is to ensure every Albertan has access to high-quality primary care services in all areas of the province, so all Albertans and their families are supported in their day-to-day health needs through every stage of life. The new primary care agency will focus on supporting integrated teams of family physicians, nurse practitioners and pharmacists to provide patients with the best care possible.
“Standing up Primary Care Alberta is an important milestone in refocusing the health care system to put patients first and give our front-line experts the support they need to ensure Albertans are receiving the care they deserve.”
Kim Simmonds, the current assistant deputy minister of strategic planning and performance at Alberta Health, will be appointed as chief executive officer of Primary Care Alberta. Simmonds brings a wealth of public and private sector experience to the role and has extensive experience working with stakeholders across the health care system. She has experience working with clinicians and understands the need for data and evidence-based decision-making when it comes to delivering primary care services to Albertans, no matter where they live.
“If primary care is to be the foundation on which the entire health system stands, every Albertan must have an ongoing connection and trusting relationship with a family doctor or health care team. They must belong to a health home where they are known and where they don’t have to tell their health story over and over again. There is much work to do in Alberta to achieve these goals, and I’m eager to get going to help make it happen.”
Modernizing Alberta’s Primary Care System (MAPS)
In 2022, the Modernizing Alberta’s Primary Care System (MAPS) initiative was launched to recommend ways to strengthen Alberta’s primary health care system. Alberta’s government undertook extensive engagement with its primary care providers and stakeholders to develop a guide to strengthen primary health care in Alberta. The MAPS final report recommended creating a single governance structure that supports an integrated team of health care professionals with data sharing within and across sectors.
Improving the coordination and delivery of primary care was also something Alberta’s government heard during provincewide engagement sessions held earlier this year as part of efforts to engage with Albertans and health care professionals on how to refocus the health care system. This made-in-Alberta solution is the first of its kind to be established in a provincial health care system. The agency is a dedicated organization to support governance, oversight, delivery, operation and coordination, a significant step being taken to improve the quality of health care delivery in the province.
Quick facts
- The Provincial Health Agencies Act enables the transition from one regional health authority, Alberta Health Services (AHS), to an integrated system of four sector-based provincial health agencies: primary care, acute care, continuing care, and mental health and addiction.
- The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care regardless of where they live.
- Some of Primary Care Alberta’s longer-term priorities include:
- Engaging physicians and providing leadership opportunities to lead their peers through the change process.
- Incentivizing care models that improve health outcomes and patient experience.
- Providing tools to primary care providers, such as enhancing the current Find a Doctor website and e-Referral, that benefit both providers and patients.
- Setting standards for primary care so Albertans have consistent services.
- Funding primary care networks that bring practitioners together to implement provincial initiatives and address regional needs.
- Developing chronic disease care models to reduce the burden of chronic disease on patients and the health care system.
- More than 30,000 Albertans have had the opportunity to share their thoughts and ideas directly on the refocusing through in-person engagement sessions, online feedback forms and telephone townhalls.
- In addition to public engagement sessions, dedicated engagements were held with Indigenous communities, the francophone community and other key health partners.
Related information
Alberta
On gender, Alberta is following the science
Despite falling into disrepute in recent years, “follow the science” remains our best shot at getting at the truth of the physical sciences.
But science, if we are to place our trust in it, must be properly defined and understood; it is at its essence an ever-changing process, a relentless pursuit of truth that is never “settled,” and one that is unafraid to discard old hypotheses in the face of new evidence.
And it is in this light—in the unforgiving glare of honest science—that Alberta Premier Danielle Smith’s three new legislative initiatives around gender policy are properly understood, notwithstanding the opprobrium they’ve attracted from critics.
Bill 26, the Health Statutes Amendment Act, proposes to prohibit the prescription of puberty blockers and cross-gender hormones for the treatment of gender dysphoria to youth aged 15 and under. It would allow minors aged 16 and 17 to begin puberty blockers and hormone therapies for gender “reassignment” and “affirmation” purposes only with parental, physician, and psychologist approval. The bill also prohibits health professionals from performing sex reassignment surgeries on minors.
Bill 27, the Education Amendment Act, seeks to enshrine parents’ rights to be notified if their kids change their names/pronouns at school, and it gives parents the right to “opt in” to what sort of gender and sex education their kids are exposed to in school.
And Bill 29, the Fairness and Safety in Sports Act, is designed to protect females in sports by ensuring that women and girls can compete in biological female-only divisions, while supporting the formation of co-ed opportunities to support transgender athletes.
Each of these initiatives is entirely reasonable, given what we know of the science underpinning “gender care,” and of the undeniable advantages that a male physique confers upon biological males competing in sports.
The notion that the trifecta of puberty blockers, cross-gender hormones, and revisionist surgery is a pathway to good health was a hypothesis initially devised by Dutch researchers, who were looking to ease the discomfort of transgender adults struggling with incongruence between their physical appearance and their gender identities. As a hypothesis, it was perhaps reasonable.
But as the UK’s Cass Review exposed in withering detail last spring, its premises were wholly unsupported by evidence, and its implementation has caused grievous harm for youth. As Finnish psychiatrist Riittakerttu Kaltiala, one of the architects of that country’s gender program, put it last year, “Gender affirming care is dangerous. I know, because I helped pioneer it.”
It’s no accident, then, that numerous European jurisdictions have pulled back from the “gender affirming care” pathway for youth, such as Sweden, Finland, Belgium, the Netherlands, and the United Kingdom.
It makes perfect sense that Canadians should be cautious as well, and that parents should be apprised if their children are being exposed to these theories at school and informed if their kids are caught up in their premises.
Yet the Canadian medical establishment has remained curiously intransigent on this issue, continuing to insist that the drug-and-surgery-based gender-affirming care model is rooted in evidence.
Premier Smith was asked by a reporter last month whether decisions on these matters aren’t best left to discussions between doctors and their patients; to which she replied:
“I would say doctors aren’t always right.”
Which is rather an understatement, as anyone familiar with the opioid drug crisis can attest, or as anyone acquainted with the darker corners of medical history knows: the frontal lobotomy saga, the thalidomide catastrophe, and the “recovered memories of sexual abuse” scandal are just a few examples of where doctors didn’t “get it right.”
As physicians, we advocate strongly for self-regulation and for the principle that medical decisions are private matters between physicians and patients. But self-regulation isn’t infallible, and when it fails it can be very much in the interests of the public—and especially of patients—for others to intervene, whether they be journalists, lawyers, or political leaders.
The trans discussion shouldn’t be a partisan issue, although it certainly has become one in Canada. It’s worth noting that Britain’s freshly elected Labour Party chose to carry on with the cautious approach adopted by the preceding administration in light of the Cass Review.
Premier Smith’s new polices are eminently sensible and in line with the stance taken by our European colleagues. None of her initiatives are “anti-trans.” Instead, they are pro-child, pro-women, and pro-athlete, and it’s difficult to see how anyone can quibble with that.
Dr. J. Edward Les, MD, is a pediatrician in Calgary, senior fellow at the Aristotle Foundation for Public Policy, and co-author of Teenagers, Children, and Gender Transition Policy: A Comparison of Transgender Medical Policy for Minors in Canada, the United States, and Europe.
Alberta
Working to avoid future US tariffs, Alberta signs onto U.S. energy pact
Louisiana Governor Jeff Landry and New Hampshire Governor Chris Sununu of the Governors’ Coalition for Energy Security
Premier Danielle Smith has joined the Governors’ Coalition for Energy Security to further support advocacy of Alberta’s energy and environmental interests with key U.S. states.
The coalition was established in September 2024 by U.S. State governors Jeff Landry (Louisiana) and Chris Sununu (New Hampshire) with the aim of ensuring energy security, lower energy costs, increased reliability, sustainable economic development and sensible management of energy resources and the environment. With 12 U.S. states already signatories to the coalition, Alberta is the first non-U.S. state to enter into this agreement.
By expanding energy ties with the U.S. and promoting cross-border energy trade and participation, Alberta is helping to build upon its North American Energy strategy. Alberta already accounts for 56 per cent of all oil imports to the U.S. – twice as much as Mexico, Saudi Arabia and Iraq combined – which is helping to drive job creation and prosperity on both sides of the border. Natural gas also plays an important role in North America’s energy mix. Alberta is the largest producer of natural gas in Canada and remains positioned to support the U.S. in filling their domestic supply gaps.
“I am honoured to join the Governors’ Coalition for Energy Security and would like to extend my sincere thanks to governors Landry and Sununu for the invitation. Alberta plays a vital role in North American energy security, serving as the largest supplier of crude oil and natural gas to the United States. With 200 billion barrels of recoverable oil, 200 trillion cubic feet of recoverable natural gas, significant natural gas liquids and ample pore space for carbon capture, Alberta’s contribution is set to grow even further as we look to work with the Trump Administration and other U.S. partners to increase our pipeline capacity to our greatest friend and ally, the United States. We are proud to collaborate with this coalition of allied states in advancing energy security, reliability and affordability for Americans and Canadians.”
“Our mission as an organization has not changed but Alberta’s welcome arrival to our group sparked a conversation about what our core mission is, and that is ensuring energy security in all its forms. Our members all share the common goal of enhancing and protecting energy options for our people and businesses, which leads to lower energy costs, increased reliability, sustainable economic development and wise management of energy resources and the environment. I welcome Premier Smith and the insights she will bring as the leader from a fellow energy-producing province, that like my state, is under a federal system of government where national imperatives are not always aligned with state or provincial interests.”
Alberta is a global leader in emissions reduction technology and clean energy solutions. The province has captured about 14 million tonnes of carbon dioxide through carbon capture, utilization and storage technology, and has the ability to support the U.S. in developing new infrastructure and supply chains for future energy markets in the areas of hydrogen, renewables, small modular reactors and others.
Alberta is also unlocking its untapped geological potential to help meet the increasing demand for minerals – many of which are used worldwide to manufacture batteries, cell phones, energy storage cells and other products. This includes the province’s lithium sector where Alberta’s government is supporting several innovative projects to develop new ways to extract and concentrate lithium faster and with higher recovery rates that are less capital and energy intensive and have a smaller land-use footprint.
As part of this coalition, Alberta looks forward to sharing best practices with states that already have expertise in these areas.
Quick facts
- The U.S. is Alberta’s largest trading partner, with C$188 billion in bilateral trade in 2023.
- In 2023, energy products accounted for approximately C$133.6 billion, or more than 80 per cent of Alberta’s exports to the U.S.
- The Governors’ Coalition for Energy Security’s 12 signatory states include Louisiana, New Hampshire, Indiana (Governor Eric Holcomb), Alabama (Governor Kay Ivey), Georgia (Governor Brian Kemp), Tennessee (Governor Bill Lee), South Dakota (Governor Kristi Noem), Mississippi (Governor Tate Reeves), Arkansas (Governor Sarah Huckabee Sanders), Oklahoma (Governor Kevin Stitt), Wyoming (Governor Mark Gordon) and Virginia (Governor Glenn Youngkin).
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