LanguageLine Blog

Navigating Language Access in Quebec’s Health Care System - What the New Directive Means

Written by Scott Brown | September 29, 2024

In response to growing concerns about language access in Quebec’s health care system, the Quebec government has issued a new directive aimed at clarifying the rights of English speakers to receive care in their language. 

This update comes in the wake of confusion and concern stemming from a previous directive issued in July, which many feared would restrict access to health care in languages other than French.

The new directive reaffirms that English speakers (known in Quebec as “anglophones”) have the right to receive health and social services in English, a right that has been enshrined in Quebec law since 1992. 

As Quebec Health Minister Christian Dubé stated, "It was never a matter of restricting access to health and social services on the basis of a linguistic criterion." This directive now explicitly states that no validation of a patient's identity is required to receive services in English. 

The original July directive raised concerns by suggesting that English could only be used in exceptional circumstances, such as in emergency situations. The revised document has since replaced that interpretation, stating clearly that health care providers can communicate in English when requested, without requiring proof of identity or eligibility. 

Moreover, the directive emphasizes that written and oral correspondence in a language other than French—such as English or Italian—can continue in recognized cases, as long as it is paired with a French version. This update acknowledges Quebec’s diverse linguistic needs and ensures that health care communication is not made overly complicated by administrative rules.

Language Access Is Vital to Health Outcomes

Language access is a critical issue in health care. The ability to communicate in one’s preferred language can significantly impact the quality of care, particularly in understanding medical instructions, navigating treatment plans, and accessing social services. The revised directive helps ease concerns by reinforcing that health services in English are not just available in exceptional cases, but are a guaranteed right for Quebec’s anglophone population.

At the core of this directive is the recognition that language should never be a barrier to care. In a multilingual province like Quebec, where the population speaks a wide range of languages, ensuring language access is vital to equitable health outcomes. 

While French remains the province’s official language, the updated guidelines provide flexibility, allowing health care workers to use their judgment and switch to the patient’s preferred language when necessary. In cases where language barriers persist, interpretation services can also be used to ensure clear communication between patients and providers.

LanguageLine Can Help

We are proud to work with healthcare institutions throughout Canada - and across North America - to ensure that language is never a barrier to care. Our on-demand interpretation services, available in video and audio-only formats, provide support in both English and French, as well as over 240 other languages. 

We invite you to contact us so that we can learn more about your organization and customize a language access program that is customized to your needs.