First Nations Health Ombudsperson Reports Healthcare Disparities

The First Nations Health Ombudsperson, Diane Lafond, has released her inaugural report, highlighting significant healthcare disparities affecting First Nations communities. The report, which covers complaints received from July 1, 2023, to March 31, 2025, outlines the challenges faced by these communities in accessing quality healthcare services. Since its establishment, Lafond’s office has received approximately 500 complaints, underscoring the urgent need for reform.

Lafond emphasized the commitment to amplifying the voices of First Nations people, stating, “We’re here for you and we’re working hard to elevate your voices in those spaces that have been silenced for far too long.” The complaints received reveal a troubling landscape in healthcare, with adults accounting for 80 percent of the reports, while 20 percent involve children. The most frequent complaints relate to physicians and emergency rooms, each representing 29 percent of the total, followed by hospitals at 22 percent and nursing as well as accessing healthcare services, each at 10 percent.

A geographical analysis shows that the majority of complaints originate from northern regions, particularly among members of the Prince Albert Grand Council. Lafond identified this area as a “hotspot” for healthcare issues, with many complaints linked to Shellbrook Hospital, which was opened in 2013. “There are many First Nations around Shellbrook,” Lafond noted, “They built that beautiful new hospital, yet people go there, and the doors are closed.”

Another critical concern raised in the report is the increasing use of non-disclosure agreements (NDAs) by healthcare institutions. Heather Bear, chair of the ombudsperson’s board, highlighted the negative impact of NDAs, stating, “It silences the victim. And I say victims because they are victims. Our people who are being mistreated.” The office believes that such agreements hinder the investigation process and prevent individuals from sharing their experiences.

Following the release of this report, Lafond expressed a desire for her office to expand its influence and presence. A working relationship has been established with the Saskatchewan Health Authority (SHA) and its First Nations and Métis Health division. Some complaints originating from the SHA have already been referred to Lafond for further action. “We’re seeing steps happening, but with anything, it takes time,” she remarked. “We want to do it right, but we want inclusion.”

One notable outcome of collaboration with the SHA includes the development of an Indigenous Hair Cutting Policy. This policy was prompted by a case involving a 54-year-old woman who was unable to provide informed consent when a registered nurse shaved her head earlier this year. Lafond’s office, however, was not invited to participate in the discussions surrounding this policy, an oversight she hopes will be rectified in future collaborations.

Lafond also addressed the broader challenges facing First Nations communities, particularly regarding the lack of capacity to manage essential services like home care nursing. “There are a lot of barriers that we face as First Nations people and communities,” she stated, underscoring the need for systemic change to improve healthcare access and quality.

The report serves as a critical step in bringing attention to the ongoing healthcare issues faced by First Nations individuals. As Lafond’s office continues its work, the hope is that meaningful progress will be made to ensure equitable healthcare for all First Nations communities.