Saskatchewan's health system has faced criticism due to a lack of accessibility to the midwifery program. According to Leanne Smith, the director for maternal services in the Saskatoon Health Region declared half of the women who apply for the midwifery program are turned away.[13] Ministry of Health data shows midwives saw 1,233 clients in the 2012–13 fiscal year (which runs April to March). But in that fourth quarter, 359 women were still on waiting lists for immediate or future care.[13] The provincial Health Ministry received 47 letters about midwifery services in 2012, most of which asked for more midwives.[13] As a continuing problem in the Saskatchewan health care system, more pressure has been placed to recruit more midwives for the province.