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Patients in Ontario can go anywhere in the province for their care. Home and Community Care Support Services' geographic boundaries are for management and administrative purposes only.

Home and Community Care Support Services is a Best Practice Spotlight Organization (BPSO) through the Registered Nurses' Association of Ontario (RNAO). BPSOs are health care and academic organizations selected by the RNAO through a request for proposals process to implement and evaluate the RNAO's best practice guidelines. Click here for more information.


The Local Health System Integration Act, 2006, has changed the way that our health system is managed. The Ministry of Health and Long-Term Care created 14 Local Health Integration Networks (LHINs) to plan, integrate, and fund health care based on local needs. On December 7, 2016, Ontario passed legislation, The Patients First Act, 2016, an important step in support of the government’s Patients First: Action Plan for Health Care, to help patients and their families obtain better access to a more local and integrated health care system, improving the patient experience and delivering higher quality care.

In May 2017, home care services and staff began to transfer from Community Care Access Centres (CCACs) to LHINs. This structural system change will help the Patients First: Action Plan for Health Care move forward. The Hamilton Niagara Haldimand Brant CCAC transferred to the Hamilton Niagara Haldimand Brant LHIN on May 10, 2017. 

Please note: On March 17, 2021, the Honourable Christine Elliott, Deputy Premier and Minister of Health, issued an order under the Connecting Care Act, 2019 transferring the health system planning and funding functions of the Local Health Integration Networks (LHINs) to Ontario Health, effective April 1, 2021.