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A Vision for LocalPhoto - Two girls looking out against a blue sky Planning and Decision-Making

The future that citizens, stakeholders and providers have long asked for — local decision-making for health improvement — is now. 

The role of Local Health Integration Networks is to plan, integrate and fund local health care as well as deliver and coordinate home and community care. The Hamilton Niagara Haldimand Brant (HNHB) LHIN includes Burlington and most of Norfolk, and works with its communities to improve health services. Our goal is a health system that keeps people healthy, gets them good care when they are sick, and will be there for our children and grandchildren.

Patients in Ontario can go anywhere in the province for their care. LHIN geographic boundaries are for management and administrative purposes only.

The HNHB LHIN 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. 

What difference do LHINs make?

  • Health care planning and decision-making closer to home where local needs and solutions are more easily identified
  • Ongoing engagement and conversations among residents, communities and health providers to learn about what people’s preferences, experiences and ideas are for the health care system
  • Improved accountability for public expenditures and health outcomes
  • Improved access, quality and sustainability

What are LHINs responsible for?

The HNHB LHIN is responsible for 188 health service providers that together provide more than 230 programs and services for a total of over two and a half billion dollars.

The provider groups include: (please visit our page on Our Health Service Providers for more information)

  • 56 Community Support Services 
  • 43 Mental Health & Addictions Programs
  • 17 Supportive Housing Programs
  • 7 Community Health Centres (including 10 sites)
  • 86 Long-Term Care Homes
  • 9 Hospitals (including 23 hospital sites)

The LHIN also delivers and coordinates home and community care - click here for more information.

We know too, that good health is more than good health care. For this reason, the LHIN works with other stakeholders including primary care providers, housing providers, health and social services and other funders to help link care and supports for healthy people and healthy communities.

What does the LHIN mean to me? 


The LHIN is listening.

We know that citizens, stakeholders and providers in our communities have good ideas for health improvement. LHINs are specifically mandated to engage all parties about needs, priorities and solutions.

Your voice is important. Why? The LHIN’s decision making is based on a good understanding of

  • people’s needs, values and preferences
  • evidence as to what works
  • the feasibility of preferred solutions to meet priority challenges

Citizens are knowledgeable about their needs, experience and satisfaction with health care and their voice is important. (Please visit our pages on Community Engagement for more information)

Get involved!

There are many ways to be involved. Write the LHIN a letter. Look at our web site for upcoming events. Join us at a Board meeting and meet your LHIN Board members. Tell us what interests you and how you want to be involved.

Participate in local community forums sponsored by local providers. Share ideas for improvement with your family doctor. With your pharmacist. With your adult day program, or other services for a family member.

Join the Board of your local health service provider.

The LHIN is listening. Tell us what you think.