Report Content The report is divided into four major sections o The Environment of Change o The Markers for Change o The Pathways to Change o Actions for Change The Environment of Chang esection provides the reader with an understanding of the nature of the change that is currently impacting the Canadian and Yukon health care systems. [...] The Department of Education in cooperation with the Yukon College, the Whitehorse General Hospital and the Department of Health and Social Services should on an ongoing basis, assess the needs and demands for professional health care training in the various health care sectors with the view of determining if it is practical and cost effective to offer that training in the Yukon at Yukon College, [...] To improve accountability, the Minister of Health and Social Services, in consultation with the Board Chair, should be providing the Chair and Board of the Hospital Corporation with an annual letter of expectation that provides the Hospital Board with a written mandate and articulates the Minister’s expectation for the board, as well as the Minister’s obligations to the Hospital Corporation. [...] Overall, the final objective is to simultaneously ensure: health improvement; disease prevention; equitable access; and viable and equitable funding; while at the same time to control the growth rate of public spendin g. Specifically, the objective of the Yukon government is to improve the performance of the health care system while restoring the growth of public spending to sustainable levels. [...] The mandate of the YHCRC was to first review the context, cost pressures, escalators, and sustainability of the Yukon health care system and to make recommendations regarding containing the growth in health care spending while maintaining access to care and quality of services.