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The historic agreements achieved today allowed BC First Nations to establish tripartite commitments to improve the health and well-being of all First Nations in BC through increased First Nations decision-making, enabled by a new First Nations health governance structure and a new health partnership with federal and provincial governments.

The wisdom and direction of our leadership has guided the historic milestones and agreements we have achieved.  We as BC First Nations have created and carried out a community engagement and consensus-building process that is second to none – described in the Engagement and Approvals Pathway designed and adopted by BC First Nations, for BC First Nations.  In following this Pathway, BC First Nations have participated in well over 200 regional, sub-regional and community meetings and many other digital –based forms of participation to provide direction and feedback for key governance level decision points along this journey of health systems transformation.

Through the Pathway, we as First Nations participate in consensus-building process, whereby feedback is provided to Guidebooks.  That feedback is then rolled up into regional summary reports for review by First Nations in those regions, and then rolled-up again into one provincial Consensus Paper that is considered for adoption at Gathering Wisdom for a Shared Journey forums.  Recognizing that our strength comes from our ability to stay unified, we ensure that the decision that impact all of us are made by all of us, and are done so  in a way that makes room for everyone’s participation and focuses on the points of agreements amongst us.

Engagement: A process of collecting wisdom, advice, feedback, and guidance.

Discussion Document: Based on the engagement, developing options, questions, and models and providing those back for further engagement.

Engagement Summary: Based on the discussion document engagement, providing description of the common area(s) of agreement.

Building Consensus: A process of dialogue, and amendment as required, to amend the Engagement Summary to build and capture consensus.

Ratification: A process of approval for the Consensus reached.

The entire engagement pathway process is guided by the 7 Directives adopted by BC First Nations in the Consensus Paper: BC First Nations Perspectives on New Health Governance Arrangement, and the principle of Reciprocal Accountability.