The establishment of Canada’s first provincial First Nations Health Authority (FNHA) was a key component of the Tripartite First Nations Health Plan signed in 2007. The FNHA will handle service delivery within the BC First Nations Health governing structure and the British Columbia Tripartite Framework Agreement on First Nation Health Governance mandates the FNHA to undertake the service delivery responsibilities currently carried by Health Canada’s First Nations and Inuit Health Branch, Pacific Region.
The FNHA is governed by a 7-member board of Directors and was previously established in 2009 as the First Nations Health Society by direction of the First Nations Summit, Union of BC Indian Chiefs and Assembly of First Nations. The 15 members of the First Nations Health Council comprise the membership of the FNHA.
The First Nations Health Council was created following the negotiating and signing of a series of agreements between First Nations, Canada and British Columbia. The Transformative Change Accord, signed in 2005, committed the signatories (First Nations, Canada and BC) to establish a new relationship based on mutual respect and recognition and to close the social and economic gaps between First Nations and other British Columbians in several areas of health.
BC and First Nations entered into a bilateral agreement called the Transformative Change Accord: First Nations Health Plan (2006). Part of this agreement included the creation of a First Nations Health Council. The federal government joined First Nations and BC in a subsequent agreement that retained most of the direction in the bilateral plan and committed the signatories to develop a tripartite First Nations Health Plan for BC.
The First Nations Health Council was established in 2007 and reformed to a regional model in 2010. The role of the First Nations Health Council is to provide a focus for BC First Nations to continue the work of reforming health care.
Essential Agreements and Documents:
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First Nations Health Authority