Access to Primary Care

Increasing access to team-based care 

Breaking down barriers to timely equitable care for all

Welcome to the Access to Primary Care Working Group page. We will tell you about why our group was formed, who's involved and what we are working towards.

At least 20,000 people in the Kingston, Frontenac, Lennox and Addington (FLA) regions have no primary care provider. The entire health-care system feels the pressure when people do not have a family doctor or nurse practitioner. We are working together to improve this situation.

Current challenges

  • Shortages of primary care providers and longer wait times for care have become normal in the FLA region

  • Pressure on emergency and urgent care departments has increased due to this lack of primary care access

  • Barriers to equal access include: location, economic stability, education access and quality,  health-care access and quality, neighbourhood, social and community situation

  • Health conditions may worsen without proper care, including increases in undetected cancer, chronic diseases complications and preventable illnesses 

Who's involved?

Community members, primary care providers, home and community care agencies, municipalities, academics and specialists from across the region are working together.

Community members include people with lived experience of mental health and addictions, family, caregivers, Indigenous and Francophone representatives, 2SLGBTQ+ and others.

View which organizations and FLA OHT partners are in the Working Group.

What we are working towards

  • Building a new model of care for people who don't have a primary care provider - family doctor or nurse practitioner - with the supports and teams they need for good care

  • Ensuring everyone, including children, youth, people experiencing or at risk of homelessness and newcomers have timely access to the care they need

Five approaches to improving access to primary care

  1. The Health Home - using the FLA OHT's new model of health care for people who don’t have a primary care provider - meaning a family doctor or nurse practitioner. Building a team-based care approach for health and social services for everyone who accesses care in the FLA regions

  2. Team-based care - working with existing primary care practices to ensure all providers have the supports and the connections they need to provide the right kind of care

  3. Newcomer health – connecting newcomers and refugees to primary care and other health and social service supports.

  4. Child care services – bringing together health and social services for youth and children, with or without a primary care provider, in one place. This will help provide more coordinated and collaborative care. 

  5. Equity and wellness care

Portable Outreach Care Hub (PORCH) - a mobile health and social services vehicle that provides mental and physical support to people who are:

  • experiencing or who are at risk of homelessness

  • seeking wellness services or struggling with mental health and substance use, or

  • experiencing barriers to health care such as transportation or location.

Integrated Care Hub (ICH) – increases access to health and social services 12 hours a day, 7 days a week at a physical space in Kingston:

  • increase access to care for people experiencing or at risk of homelessness or struggling with mental health or substance use

  • strengthen communication and collaboration between health and social service agencies to improve access and quality of care

What is a Health Home?

A person's Health Home is where or with whom they have most of their basic or primary health care: a family doctor, nurse practitioner, walk-in clinic, etc.


A Health Home may include other health care providers that are part of the circle of care.


Help improve the local health care system

Share your ideas or get involved!