Call for proposals for Interprofessional Primary Care Teams

Call for proposals

The Ontario government has launched the 2027–2028 call for proposals to create and expand approximately 78 primary care teams to connect 600,000 more people to primary care. This is part of the $3.4 billion that the province is investing to support Ontario’s Primary Care Action Plan. This will connect everyone in the province to primary care by 2029.

Family physicians, nurse practitioners and primary care teams are invited to submit proposals for funding consideration that align with the strategic evaluation priorities.

Please see the 2027–2028 Call Instructions or the 2027–2028 Indigenous-led proposal Call Instructions for detailed information.

Who is eligible to apply

Primary care practices and clinicians working with their OHT and PCN can submit a proposal to create or expand one of the existing team-based models:

• Community Health Centres
• Family Health Teams
• Indigenous Primary Health Care Organizations
• Nurse Practitioner-Led Clinics

How to submit a proposal

Submit your proposal for funding consideration either:

• through local OHTs and PCNs on behalf of primary care teams
• directly by Indigenous-led organizations

For 2027–2028 funding, all non-Indigenous-led proposals must be coordinated and submitted by OHTs and their PCNs to be eligible for assessment.

Indigenous-led proposals

We are supporting primary care planning and delivery that addresses the well-being of First Nations, Inuit, Métis, and urban Indigenous people.

While proponents of Indigenous-led proposals are encouraged to collaborate with their local OHT and their PCN, this is not a requirement to submit an Indigenous-led proposal. Please see the Indigenous-led proposal Call Instructions for detailed information.

For any questions about the Indigenous-led proposal process, please contact the Ministry of Health at pcoinquiries@ontario.ca, or your designated ministry contact.

Criteria for successful proposals

We will evaluate and assess proposals using the following 4 strategic priorities:

Primary care attachment

Provide net new, ongoing attachment to primary care, prioritizing communities with high rates of unattachment.

Readiness to implement

Demonstrating the ability to be operational and begin to attach people to a primary care clinician or team starting in spring 2027, and the ability to achieve attachment targets by spring 2028. Longer implementation timelines may be considered for establishing new teams, particularly in areas with limited or no existing team capacity.

Supporting geographic coverage

Partnering with OHTs and PCNs to develop and submit proposals that reflect the unique needs of local communities and support comprehensive geographic coverage for the attributed population across the OHT.

For Indigenous-led proposals, proposals should identify the Indigenous communities and populations of highest unattachment or areas of high need they intend to serve. Applicants may draw on relevant OHT geographic attachment plans to inform their proposals, while recognizing that Indigenous-led models may serve populations across multiple geographic boundaries.

Meeting primary care objectives

The ability to meet the following primary care objectives over time:

• Province-Wide: Ontarians should have the opportunity to have a documented and ongoing relationship with a primary care clinician or team.
• Connected: Ontarians across the province should have the opportunity to receive primary care services that are co-ordinated with existing health and social services.
• Convenient: Ontarians should have access to timely primary care services.
• Inclusive: Ontarians should have the opportunity to receive primary care services that are free from barriers and free from discrimination prohibited by the Human Rights Code or the Canadian Charter of Rights and Freedoms.
• Empowered: Ontarians should have the opportunity to access their personal health information through a digitally integrated primary care system that connects insured persons to primary care clinicians or teams involved in their care.
• Responsive: The primary care system should respond to the needs of the communities it serves, and Ontarians should have access to information about how the system is performing and adapting.

Deadline to submit

The deadline to submit proposals is November 20, 2026, at 5:00 p.m. Eastern Time.

When we will notify you

Prospective interprofessional primary care teams are expected to be notified of funding decisions in spring 2027.

Additional rounds of funding

This is a multi-year process of funding and there will be additional opportunities to apply for funding. We anticipate the next round of proposal intake and assessment to launch in fall 2027.

Contact information

For any questions about the submission of proposals, please contact primarycareexpansion@ontariohealth.ca.

If you are unsure about your OHT or PCN contact or have questions, please contact your Ontario Health Region.

Scenarios for expansion and new teams

Family Health Team (FHT)

Expansion

• An existing FHT that is affiliated with one or more Family Health Organizations (FHOs) or Family Health Networks (FHNs) plans to expand their practice and would like to invite another FHO to join their team so they can roster more patients. They could apply for more Interdisciplinary Health Providers (IHPs) and administrative staff and become an extension or satellite of the FHT.
• An existing FHT that is affiliated with a Blended Salaried Model (BSM) would like to expand and roster more patients. They could apply for an additional salaried physician FTE or IHPs.
• An existing FHT would like to expand their services and affiliated physicians plan to roster all unattached patients in a geographic area. They could apply for new IHPs.

New teams

• One or more FHOs or FHNs without an affiliation to a FHT would like to expand their practice. They could propose the creation of a new FHT and apply to add IHPs and administrative support to their practice.
• A group of physicians who are in a Family Health Group (FHG) could apply to become a FHO which could then be eligible to apply to form an FHT, if there is no FHT in the area.
• A group of physicians want to work in a salaried model with interprofessional and administrative support. They could create a new Blended Salary Model (BSM) FHT.
• A Rural and Northern Physician Group Agreement (RNPGA) could decide to form a FHT that will provide attachment for people living within the geographic area.

Community Health Centre (CHC)

Expansion

• An existing CHC would like to expand their services to a growing population in the catchment area. They could apply for an additional salaried physician or IHPs.

New teams

• A group of physicians or nurse practitioners (NPs) decide to create a team of interprofessional providers and administrative support, creating a new CHC.
• Community organizations with an interest in primary care could collaborate with local clinicians and apply to be a new CHC that would take on all unattached patients in a postal code zone.

Nurse Practitioner-Led Clinic (NPLC)

Expansion

• An existing NPLC would like to expand their services to a growing population in the area. The team could apply for an additional salaried NP to attach more patients.
• An existing NPLC would like to expand services for residents of a local community housing unit (satellite or mobile services), where the NPLC provides primary care. The team could apply for additional funding that enable them to attach patients to ongoing primary care.

New teams

• A group of NPs decide to apply for funding to create a team of interprofessional clinicians and administrative support, creating a new NPLC.

Indigenous Primary Health Care Organizations (IPHCO)

Expansion

• An existing IPHCO would like to expand their services for Indigenous peoples. The team could apply for additional salaried physicians or IHPs and demonstrate they will attach more people to ongoing primary care.

New teams

• An Indigenous organization or Band Council seeks to expand interprofessional primary care to the community. The group can apply for funding to create a new IPHCO.