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The Hamilton Niagara Haldimand Brant Local Health Integration Network, like all LHINs, is accountable not only to the Ministry of Health and Long-Term Care, but also to its health service providers, and ultimately the people who live in the LHIN. The following diagram outlines the core elements of the LHINs accountability relationships.


The Ministry of Health and Long-Term Care, the LHINs, and the Service Providers are each responsible for developing and fulfilling clear and achievable performance obligations, and to identify any risks to performance. All parties are expected to work collaboratively and cooperatively by establishing clear lines of communication and responsibility, and by working diligently to resolve issues in a proactive and timely manner.

If you are interested in learning more about the roles and responsibilities of the LHINs, please read the Memorandum of Understanding and the 2015-18 Ministry-LHIN Accountability Agreement (MLAA) between the Ministry of Health and Long-Term Care and the HNHB LHIN.

Minister's Transfer Order


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 Hamilton Niagara Haldimand Brant CCAC transferred to the Hamilton Niagara Haldimand Brant LHIN on May 10, 2017.

HNHB LHIN Mandate Letter

On November 24, 2017, the Honourable Dr. Eric Hoskins, Minister of Health and Long-Term Care sent the 2018/19 mandate letter to the Local Health Integration Networks (LHINs). The mandate letter focuses on collective key priorities and outlines the broad service and performance expectations for LHINs in 2018/19.

 2018-19 Mandate Letter – November 24, 2017

Certificates of Compliance

Ontario’s 14 Local Health Integration Networks (LHINs) through their individual Ministry-LHIN Accountability Agreements (MLAAs) are required to sign Certificates of Compliance as part of the General Performance Obligations. These Certificates of Compliance are completed on a quarterly basis and attests to the LHIN’s compliance with applicable legislation; provincial policies; standards; operating manuals; directives; and guidelines available to the LHINs, as required by the Ministry of Health and Long-Term Care (MOHLTC).

The HNHB LHIN is committed to being open and transparent with its stakeholders and the general public. To support this commitment, the HNHB LHIN's Certificate of Compliance is presented quarterly at the Board of Directors Meeting – Open Sessions and posted below.

View archived Certificates of Compliance here.