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About Vancouver Coastal

The Vancouver Coastal Region consists of 14 First Nations communities; in which each community elects a First Nations Chief based on their own selection process.  The First Nations communities within the Vancouver Coastal Region vary in size and include a number of small and isolated communities within the coastal region.


The Vancouver Coastal Caucus through their First Nations leadership provides political direction and advocacy on behalf of their Sub-Regions.  In order to coordinate and oversee health development in the Region, Vancouver Coastal First Nations have formed the Vancouver Coastal Caucus which provides the space for the political leaders and health technicians from the region’s First Nations to come together at regular intervals.  The Vancouver Coastal Caucus also provided direction to the appointed leaders should enter into a partnership with the Vancouver Coastal Health and First Nations Health Authority to create a collaborative working relationship.  The Vancouver Coastal Partnership Accord is this agreement.

The leadership in the Region created space for every First Nation/Nation community to have one political representative and one technical representative per First Nation/Nation community for a total of 28 representatives at the Vancouver Coastal Caucus.  The First Nation’s/Nation’s own Band or Tribal Council selects its own political and technical representatives using its own processes.

Three representatives from the Caucus are selected to sit on the 15 member First Nations Health Council, which operates at a provincial level on behalf of First Nations in British Columbia.  These Caucus representatives also form part of the Vancouver Coastal First Nations Regional Table, which acts as a strategic working group from the Vancouver Coastal Caucus to work alongside various partners including the Vancouver Coastal Health.

The Sub-Regions also appoint one Representative from their Sub-Region to the First Nations Health Council to represent them at a Provincial Level:

Sub-RegionFNHC Representative Member Communities
SouthLeah George-WilsonMusqueam, Sechelt and Sliammon, Squamish, and Tsleil-Waututh
Southern St'at'imcErnest Armann Lil'wat, N'Quatqua, Samahquam, Skatin, and Xa’xsta
Central CoastMaria MartinHeiltsuk, Kitasoo and Nuxalk, and Wuikinuxv

The Vancouver Coastal Caucus and Sub-Regional Caucuses operate with an approved Terms of Reference and provide direction to their FNHC Representative, which is brought forward to the full Regional Caucus or the First Nations Health Council.


Governance documents:

Read more about the Vancouver Coastal geography, population, communities and health organisations on the FNHA website here.