LMPCA Executive Council – Terms of Reference

February 2, 2021

Executive Council membership

The LMPCA Executive Council will be elected by the LMPCA through a virtual/electronic voting process. 

The Council’s membership will be skills based and reflect and consider the health and needs of primary care.  As such, a proportional representation will be considered based on the current primary care and physician profile in London-Middlesex. 

This Council will consist of 15 -17 members, and membership will be revisited at full maturity of the Alliance.

  • FFS/CCM/FHG (2)
  • FHN/FHO without FHT (3)
  • FHN/FHO with FHT (2)
  • CHC/AHAC (1)
  • Other (Walk ins, Focused Practice, ED, Palliative Care etc.) (3)
  • Academic (1)
  • Inter-health professional (1)*
  • NP (1)
  • Primary Care Organization (leadership/Executive Director) (1)*
  • Patient Family Caregiver (1-2)*
  • Ex Officio (2-3)*

*Election/selection process timelines may vary

Role of the Executive Council to include:

  • Provide advice and strategic direction on the planning, development, and implementation of specific primary health care initiatives
  • Provide advice and strategic direction on the alignment of primary care providers and organizations to improve system integration and enhance patient care
  • Communicate and engage with local primary care colleagues to gather feedback through formal and informal mechanisms, such as rounds, electronic updates, practice visits etc. to advise the Alliance and to share key messages back to the primary care community.
  • Serve as a resource to the local primary care community


The LMPCA shall select two Co-Chairs who are selected via electronic voting by all members in the LMPCA.  The LMPCA Co-Chairs and members shall serve for two-year overlapping terms.  They will need to reflect the voice of primary care and will not qualify to be the WOHT representatives.  The Co-Chair role include:

  • Lead meetings to advance agenda within the timelines for specific agenda items
  • Facilitate meetings to ensure input is solicited from members and each member has an equal voice
  • Organize the structure and function of the LMPCA, ensuring responsiveness and effectiveness

The LMPCA reporting relationships are as follows:

  • Through the selection of the LMPCA Executive Council, two Primary Care Providers and one Primary Care Organization representatives will sit at the Coordinating Council of the Western OHT.
  • The LMPCA will provide active participation to work groups as needed.  This may include membership in work groups for LMPCA work or other groups such as the WOHT or the Provincial Primary Care Council.

LMPCA Meetings

The LMPCA Executive Council will meet monthly for one hour at an appropriate time to encourage participation by Primary Care Providers.  Additional meetings will be held on an ad hoc basis.  Meeting materials will be distributed via email in advance of meetings.


LMPCA meetings may be held in person or virtually.  LMPCA Executive Council Members will be required to attend at least 75% of all meetings scheduled.


Other attendees may be invited to attend as guest at meetings.

Decision Making

Decisions will be made by consensus using a collaborative decision-making model.  This approach allows for members to situate themselves on a scale expressing their individual opinion more clearly.  Further details regarding this process are available here.

Quorum Requirements for Executive Council of LMPCA

Quorum of the LMPCA will be 50% plus one of its membership.  To constitute a formal meeting a majority of members must be in attendance.

The LMPCA will be supported by resources from member organizations and members.

The Terms of Reference will be reviewed by the LMPCA annually and may be amended.