LMPCA Terms of Reference

February 2, 2021

Our purpose

Our vision

Our mission

Our mandate

LMPCA membership

Executive Council

Reporting relationships



Amending these Terms of Reference

The London Middlesex Primary Care Alliance (LMPCA) is a forum for primary care providers to meet to coordinate, collaborate and implement primary care priorities across the London-Middlesex region.

The LMPCA will speak as the collective voice for primary care activities in London-Middlesex, and be actively involved in the decision making of the primary care sector (for example, decision making at the Western Ontario Health Team [WOHT]).

An inclusive network of primary care providers leading with a unified voice to improve the health of our community.

To create a strong and united primary care network to:

  • Lead system change utilizing quintuple aim values
  • Drive health equity and continuous quality improvement for the best possible experience and health outcomes
  • Advance patient centred equitable care in partnership with those we serve
  • Improve integration of primary health services with public health and other social and health care partners
  • Build a foundation and coordinated network of primary care providers and organizations
  • Champion the development of a patient-centric local primary health care system to improve patient experience and clinical outcomes
  • Be the key link between the primary care sector and other elements of the health care system
  • Work with partners to gather input from local primary care providers and patients, review and analyze service access and data, and articulate and define the needs for the London-Middlesex population
  • Develop an annual work plan to improve integration and patient outcomes
  • The role of the LMPCA will evolve over time to reflect decisions taken at the regional and provincial level. 
  • To advocate for the patients in which we serve and our fellow primary care providers
  • The LMPCA membership will be reflective of all primary care service providers caring for individuals in London Middlesex and all delivery models.  Additionally, it will be inclusive of all primary care providers (i.e. physicians, nurse practitioners, administrators, primary care health provider) in the London-Middlesex region. 
  • The LMPCA will consider the rural / urban geography of the region and patient/family/caregiver representation in future membership as the Alliance evolves.
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 followings:

  • 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 as a larger group will convene quarterly to provide updates and engage with members.

LMPCA Executive Council

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.

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