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About Vancouver Island

The Vancouver Island Region consists of 54 First Nations communities; in which each community elects their own First Nations Chief based on their own selection process.


 The Vancouver Island Region uses respect as a guiding principle among their Region and have divided themselves into three Vancouver Island First Nations Families. It is an integral teaching that is inherent to how we treat ourselves, one another, and the living world around us. Respect lays the foundation for healthy decisions and actions to be made. The Families believe it is an ancestral teaching that guides the work of our leaders in reclaiming authorities over health and wellbeing. The Vancouver Island Region is centered by respect in order to ensure that the work that is carried out adheres to their traditional knowledge, continues to guide our efforts and set a high standard for the future progression of health services to our communities.

In order to coordinate and oversee health developments in the Region, Vancouver Island First Nations have formed the Vancouver Island Regional Caucus which provides a vehicle for the political and technical leads from the region’s First Nations to come together to collaborate and share information. Early in the process, the caucus provided direction to their appointed leaders to enter into an Accord with Vancouver Island Health Authority in order to establish a collaborative working relationship. In recognition of the cultural diversity of the region, the signing ceremony was held at Gathering Wisdom for a Shared Journey and leaders from all of the communities within the Vancouver Island Region witnessed the historic event. As the Vancouver Island First Nations recognize and respect each other’s diversity, the leaders have created three sub-regions within the Region, the Coast Salish, Kwakwaka’wakw (North Vancouver Island) and Nuu-chah-nulth cultural families. These sub-regional caucuses meet at regular intervals to share information and support the regional caucus process.

The Vancouver Island Caucus Sub-Regions also appointed three representatives (one from each of the sub-regions) to sit on the 15 member First Nations Health Council, which operates at a provincial level on behalf of First Nations in British Columbia.

Sub-RegionFNHC Representative Member Communities
Coast Salish NationsPaul SamBeecher Bay, Chemainus, Cowichan Tribes, Esquimalt , Halalt, Homalco, Klahoose, Lake Cowichan, Lyackson, Malahat, Nanoose, Pacheedaht , Pauquachin, Penelakut, Qualicum, Snuneymuxw, Songhees, Tsartlip, Tsawout, Tseycum, T;Sou-ke
Nuu-chah-nulth NationsDeb FoxcroftAhousaht, Ditidaht, Ehattesaht, Hesquiaht, Hupacasath, Huu-ay-aht, Ka:’yu:’k’t’h/Che:k:tles7et’h, Mowachaht/Muchalaht, Nuchatlaht, Tla-o-qui-aht, Toquaht, Tseshaht, Uchucklesaht, Ucluelet
North Island NationsNick Chowdhury Campbell River, Cape Mudge, Comox, Da’naxda’wx, Gwasala-Nakwaxda’xw, Gwawaenuk, Kwakiutl, Kwiakah, Kwicksutaineuk-ah-kwah-ah-mish, Mamalilikulla-Qwe’Qua’Sot-Emox, Namgis, Quatsino, Tlatlasikwala, Tlowitsis, Tsawataineuk.

Governance documents:

Vancouver Island Regional Caucus Terms of Reference and Sub-Regional Terms of References

Vancouver Island Partnership Accord


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