Patients First 

On June 21, 2017, home and community care services and staff transitioned from the Central East Community Care Access Centre (CCAC) to the Central East Local Health Integration Network (LHIN). LHINs plan, integrate and fund local health care. Now, in their expanded role, LHINs deliver and coordinate home and community care. The transition to the LHIN is an administrative change and does not impact the care provided to patients.

Patients First Background

On December 17, 2015, the ministry released Patients First: A Proposal to Strengthen Patient-Centred Health Care in Ontario, a discussion paper that outlined proposed changes for the health system. The structural changes will see Local Health Integration Networks assume responsibility for home and community care and system integration, and have greater involvement with primary care, and improved linkages with population health planning. 

The proposal highlighted the need to address structural issues in Ontario’s health care system to improve the accessibility, integration, and consistency of patient care.

To achieve these structural changes, a number of legislative changes will be required, aligned with four main categories:

  1. Local Health Integration Network (LHIN) Governance and Mandate
  2. Primary Care
  3. Home and Community Care
  4. Public Health

On June 2, 2016, the government introduced Bill 210, containing the Patients First Act, 2016, to advance the plan to evolve locally integrated patient-centred health care delivery.  On September 8, 2016, Premier Kathleen Wynne announced that the Lieutenant Governor of Ontario accepted the Premier’s advice to prorogue the legislature. The Lieutenant Governor delivered a Speech from the Throne outlining the government’s plans for the new session on September 12, 2016

On October 6, 2016, Ontario re-introduced the Patients First Act in order to make changes that will enable the next stage of the Patients First Action Plan for Health Care, including quicker access to a doctor and improvements to home and community care.   Bill 41 was approved on December 7, 2016.

The Patients First: Action Plan for Health Care is Ontario’s plan to transform the health care system into one that puts the needs of patients at its centre.         

Ontario has made progress in all four Patients First priority areas: increasing access, connecting services, informing patients and protecting our health care system. But we can do more to put patients first. Better care for patients means we need to make some changes.

Ontario is designing a path to improve the patient experience and provide better access to care for Ontarians no matter where they live, including:

  • Improving communication and connections between primary health care, hospitals and home and community care for a smooth patient experience.
  • Making it easier for patients to find a family doctor or nurse practitioner when they need one, see that person quickly when they are sick, and find the care they need, closer to home.  
  • Making it easier for doctors, nurses and other primary care providers to connect their patients to the health care they need.
  • Ensuring there is local planning so health care providers are available to patients where and when they are needed.
  • Strengthening Indigenous involvement in the planning, design and delivery of health programs and services provided to Indigenous communities.

Minister's Order for Health System Integration

In May 2017, home care services and staff began to transfer from Community Care Access Centres (CCACs) to Local Health Integration Networks (LHINs).This is a structural system change that will help the Patients First: Action Plan for Health Care move forward.

The process will be seamless for patients and home care clients. There will be no disruption to care or patient experience, and there will be no need to change health care providers. 

The Central East CCAC transferred to the Central East LHIN on Wednesday, June 21, 2017.

Learn More

As this process evolves, the Board of the Central East LHIN is receiving updates at their monthly open Board meetings. 

To access these updates, please click on the links below:

The Ministry of Health and Long-Term Care (MOHLTC) is also sharing information on Health System Integration.  To access these bulletins, please click on the links below:

Please continue to watch this space for updates.