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Improving primary care in Vancouver

Improving primary care in Vancouver

September 15, 2020 at 5:39 pm  BC, News, Politics

According to BC Stats data, the communities that the Vancouver primary care network will serve have a combined population of 631,486. There are an estimated 110,000 unattached patients across Vancouver. Services will be available in all regions of Vancouver.

Primary care networks mean that patients:

  • who do not have a regular primary care provider – a family doctor or nurse practitioner – will be able to get one;
  • will have an ongoing relationship with their primary care provider, which is important for their lifelong health;
  • will get access to faster, more convenient care from their doctor or nurse practitioner and the care team;
  • will be provided and connected with a range of appropriate and accessible services and supports;
  • will be informed about all aspects of their care in community; and
  • will know where to go to get the care they need, even on evenings and weekends.

In addition to the six new primary care networks in Vancouver, an expansion of the Lu’ma Medical Centre occurred in October 2019. It was the initial First Nations-led project to be announced under the government’s primary care strategy.

City Centre Primary Care Network

  • The ministry approves the addition of 26.5 FTE primary care resources to support attachment in the general population, to include family physicians, nurse practitioners, registered nurses in a team-based environment. These resources will generate capacity to attach net new patients.
    • 10 full time equivalent (FTE) family physicians
    • 9 FTE nurse practitioners
    • 7.5 FTE registered nurses
  • Target attachment for these new resources is 25,250 by Year 4 (2022-23).

Centre North Primary Care Network

  • The ministry approves the addition of 19 FTE primary care resources to support attachment in the general population, to include family physicians, nurse practitioners, registered nurses and allied health professionals in a team-based environment. These resources will generate capacity to attach net new patients.
    • 5.0 FTE family physicians
    • 4.0 FTE nurse practitioners
    • 1.5 FTE registered nurses
    • 7.5 FTE allied health professionals
    • 1.0 FTE clinical pharmacist
  • Target attachment for these new resources is 11,000 by Year 4 (2023-24).

Northeast Primary Care Network

  • The ministry approves the addition of 22.5 FTE primary care resources to support attachment in the general population. These resources will generate capacity to attach net new patients.
    • 6.0 FTE family physicians
    • 4.0 FTE nurse practitioners
    • 4.0 FTE registered nurses
    • 7.5 FTE allied health professionals
    • 1.0 FTE clinical pharmacist
  • Target attachment for these new resources is 13,500 by Year 4 (2023-24).

Westside Primary Care Network

The ministry approves the addition of 32 FTE primary care resources to support attachment in the general population. These resources will generate capacity to attach net new patients.

  • 12.0 FTE family physicians
  • 7.5 FTE nurse practitioners
  • 4 FTE registered nurses
  • 7.5 FTE allied health professionals
  • 1.0 FTE clinical pharmacist
  • Target attachment for these new resources is 24,500 by Year 4 (2023-24).

Midtown Primary Care Network

  • The Ministry approves the addition of 26 FTE primary care resources to support attachment in the general population. These resources will generate capacity to attach net new patients.
    • 8.0 FTE family physicians
    • 5.0 FTE nurse practitioners
    • 4.5 FTE registered nurses
    • 7.5 FTE allied health professionals
    • 1.0 FTE clinical pharmacist.
  • Target attachment for these new resources is 17,250 by Year 4 (2023-24).

South Primary Care Network

  • The Ministry approves the addition of 22 FTE primary care resources to support attachment in the general population. These resources will generate capacity to attach net new patients.
    • 7.0 FTE family physicians
    • 7.0 FTE nurse practitioners
    • 8.0 FTE registered nurses
  • Target attachment for these new resources is 19,750 by Year 4 (2022-23).

Interprofessional health team

  • The intent of the interprofessional health team is to support requests for allied health resources in the communities of Vancouver City Centre and Vancouver South.
  • The ministry approves 15.0 allied health professionals for City Centre and South. Each of these primary care networks also includes one pharmacist to support team-based care.
    • 15.0 FTE allied health professionals
    • 2.0 FTE clinical pharmacists

Primary Care Network Management and Administration

  • The ministry approves the addition of 12.0 FTE management and administrative resources to support the functioning of the primary care networks.
    • 6.0 FTE PCN managers
    • 6.0 FTE administrative assistants

REACH Community Health Centre

  • The ministry approves the addition of 1.0 FTE nurse practitioners, 2.0 FTE registered nurses, and 1.0 FTE licensed practical nurse to support attachment at REACH Community Health Centre
  • The ministry approves the following:
    • 1.0 FTE nurse practitioner
    • 2.0 FTE registered nurses
    • 1.0 FTE licensed practical nurse
  • The target net new attachment for this strategy is in addition to attachment targets for Northeast Primary Care Network.

First Nations Aboriginal Primary Care Network (FNAPCN)

Over the past four years, the First Nations Aboriginal Primary Care Network (FNAPCN) Development Committee has worked to ensure that the urban Indigenous population can receive holistic primary care at these five clinics, that provide both western and traditional medicines in a culturally safe environment; Lu’ma Medical Clinic, the Urban Native Youth Association, Vancouver Aboriginal Health Society, Kilala Lelum Health Centre and the Musqueam Indian Band Primary Care Clinic.

Overall, as part of the six primary care networks and funding previously provided to Lu’ma Medical Clinic, the ministry approves additional primary care resources to support attachment in the Indigenous population. These resources will generate capacity to attach net new patients. This includes the addition and support of health professionals, allied health providers, traditional healers and Elders to address the health-care needs of 13,905 attached and unattached urban Indigenous peoples in Vancouver across five clinics.

First Nations and Aboriginal Coalition

  • The ministry approves the addition of 11.3 FTE resources to support attachment in the community:
    • Musqueam Indian Band Primary Care Clinic: 0.5 FTE GP
    • Urban Native Youth Association: 1.0 FTE GP and 1.0 FTE NP
    • Kilala Lelum Health Centre: 2.3 FTE GP
    • Vancouver Aboriginal Health Society: 1.0 FTE NP and 0.5 FTE RN
    • 5.0 FTE Elders or traditional healers

These resources are in addition to the 8.85 FTE primary care resources previously approved by the ministry for Lu’ma Medical Centre and the 3.45 FTE resources funded by the First Nations Health Authority:

  • 2.0 FTE GP
  • 0.75 FTE NP
  • 2.0 FTE RN
  • 1.0 FTE LPN
  • 0.5 FTE dietician
  • 1.0 FTE social worker
  • 0.5 FTE physiotherapist
  • 0.8 mental health clinician
  • 0.3 relief
  • 1.25 practice manager
  • 1.0 FTE social worker/navigator
  • 1.2 Elders

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