Your HUB for MLPCN/MLOHT Interprofessional Care Teams (IPCT) Primary Care Expansion
Announcing Primary Care Expansion 2026-2027!
What we know about the second call for proposals (Phase 2) to support the creation and expansion of interprofessional primary care teams in 2026-2027:
- Proposal Deadline: November 14, 2025
- Eligibility has expanded to all communities across Ontario – not limited to forward sortation areas
- OHTs/PCNs have been tasked with coordinating, supporting development, and submitting the proposals
How to find out more
Your participation is essential in the development of local proposals. Whether you practice independently or as part of a team, in the city or rural communities, in a high-needs area or adjacent, your insights and experience matter.
As part of our intentional engagement strategy to support you in this process, we’ve created a series of short, informative videos outlining:
Episode 1: A Proposal Overview
Learn about the IPCT submission process and what this opportunity means for our community.
Presenters: Dr. Julie Clarke (Blackfriars FHO), Connor Cleary (Middlesex London OHT). Length: 5 minutes
Episode 2: Hub & Spoke Community Health Home Model
An introduction to a Health Home model and how it can strengthen team-based care and connect supports across communities for your consideration.
Presenters: Dr. Devon Shewfelt (Old South FHO), Connor Cleary. Length: 10 minutes
Episode 3: Geographic Analysis
Explore local data on unattachment, marginalization, and existing primary care supports to inform future planning.
Presenters: Dr. Devon Shewfelt, Connor Cleary and Sarah Singh (Middlesex London OHT). Length: 8 minutes
Next steps
We invite you to watch the videos and join the upcoming collaborative planning sessions (dates tba) where we review these materials more thoroughly to ensure anyone submitting a proposal feels confident to do so.
Learn more about how you can take part in the proposal and collaborate with others to strengthen primary care across our region.
If you are open to a further conversation, please reach out to the MLPCN email [email protected]. We will now be engaging directly with partners that have expressed interest in a conversation.
More info
- Proposal guidance documents are found below
- See the FAQ below for more on the proposal process
Check back here often. We will continue to expand and improve timely information here to keep you informed!
Submission documents for 2026-2027 proposal process – due November 14, 2025:
- 2026-27 IPCT Expansion General Proposal Submission Guide FINAL – EN; FR
- Appendix A – Proponent Signature and Acknowledgment – EN; FR
- Appendix B – Budget Template – EN; FR
- IPCT Expansion Proposal Form (General) – EN; FR
- OHT Attestation Form 26-27 – EN; FR
Indigenous-specific submission documents – due November 14, 2025:
- 2026-27 IPCT Expansion Indigenous Proposal Submission Guide FINAL – EN; FR
- Appendix A – Proponent Signature and Acknowledgment – EN; FR
- Appendix B – Budget Template – EN; FR
- IPCT Expansion Proposal Form (Indigenous) – v20250922 – EN; FR
Additional questions about the Primary Care Expansion process
Can multiple organizations collaborate on a single proposal?
Yes – and it is encouraged! Organizations can collaborate and submit one combined proposal rather than having separate proposals for each FSA or organization. It’s important for groups to reach out and discuss how they can work together within the timelines. Our Collaborative Session(s) held on Tuesday, April 22nd will help facilitate this process.
Can organizations outside the identified FSAs participate in the proposal submission?
Yes, organizations do not need to be physically located in the identified FSAs to participate if they intend to provide care to patients residing in those areas.
What if I am a single member of a Family Health Organization (FHO) and want to participate?
Individual members can express their interest in participating, but the FHO lead must sign off on the application. Not all members in the FHO need to agree to accept new patients / expand attachment.
What if only some members of an FHO are in the identified FSAs?
If only some members of an FHO are located in the designated FSAs, those members can still participate in the funding opportunity. It is important for those physicians to prioritize attaching patients from the designated FSAs in the proposal, even if the clinic is not physically located there.
Has there been consideration to prioritize physician groups and communities with no team-based funding?
All groups are encouraged to participate, including those with no existing team-based funding. If your group is interested, please inform the MLOHT/MLPCN to explore how best to include your group in the proposal process.
Why were specific communities identified within the FSA list on the Ontario government’s call for proposals?
The communities listed under each FSA are not exhaustive and do not specifically reflect where unattached individuals are located. We do not have population data at a level lower than the FSA.
Will future rounds of funding focus on different FSAs?
We do not know the requirements for future rounds of funding; however, we would anticipate other FSAs will come in future calls for applications as the overarching goal is 100% attachment of Ontarians.
How can proposals include other professionals in supporting new medical homes?
Proposals can be innovative and include various healthcare professionals with the primary goal of increasing attachment of the population. Team-based care is encouraged, and all providers practicing in a primary care setting are welcome to participate.
Is there support for capacity building, such as patient flow and quality improvement?
Yes, applicants can include requests for additional team members to help improve capacity, patient flow, and quality of care as part of their applications.
Will funding be allocated for infrastructure needs?
Yes, there is an opportunity to request one-time funding for infrastructure needs, such as renovations or equipment, to support the expansion of services in the application.
Can funding be used to ensure fair wages for salaried staff?
While the proposal asks for funding, how it is distributed will be determined by the organization or team. Concerns about recruitment and retention due to wage issues have been noted, and this feedback is being communicated to Ontario Health / Ministry of Health.
How would a FHO know the best match within the MLOHT/MLPCN for partnership?
Collaboration and communication with the MLOHT will help identify the most appropriate partners for shared funding proposals.
Is there a digital plan to integrate MDs/NPs with existing Family Health Teams?
While MLOHT/MLPCN are exploring a digital strategy, given the short timeline and complexity of this issue, a digital integration plan is not feasible for the first round of funding.
Is there any plan to attract new physicians to the targeted FSAs?
Attracting new physicians is an ongoing effort. While immediate recruitment may be challenging for the May 2nd deadline, proposals can include team-based care models that support new physicians and enhance their practice environment.
With greater access to team-based care across our region, these enhancements may enable greater capacity for impacted family physicians.
Physician Recruitment & Retention continues to be a priority of the MLOHT and MLPCN.
What innovative partnerships can be included in proposals?
Proposals can include partnerships with various healthcare providers and groups, such as mental health and addiction services, community support services, and community paramedics. The goal is to build a robust team-based care model for this round of proposals that is ready to implement by July 2025 and increases patient attachment. Our Collaborative Session(s) held on Tuesday, April 22, 2025, will help facilitate this process.
How does this funding initiative address the issue of patients being considered “unattached” when cared for by Nurse Practitioners (NPs)?
There is current work being done by the Inspire PHC group to add NP data into data modelling for attachment. While NPs cannot be the Most Responsible Provider (MRP) within FHTs, there are collaborative approaches that can be explored in the application process to enhance capacity and patient attachment.
More Questions? Contact Us – We’re here to support you!
