Updates from the First Nations Health Council Learn more

Our why

The First Nations health structure belongs to First Nations in BC. The FNHC has been steering the transformation of health and wellness of our people for over a decade.

Our History

Our journey began with the signing of the Transformative Change Accord in 2007 by the FNHC, the Province of BC and the Government of Canada to address health disparities between First Nations and other BC residents.


Along with implementing the Tripartite agreements, part of our original mandate was overseeing the transition to a new FNHA. Looking toward Gathering Wisdom XII in September 2022, BC Chiefs and leaders are now providing their wisdom, input and guidance on how best to evolve the FNHC mandate and role.


Work of the FNHC and its pillar partners, the FNHA and FNHDA, is rooted in a shared vision: Healthy, Self-Determining and Vibrant BC First Nations Children, Families and Communities.

Our Seven Directives

The FNHA, FNHC and FNHDA receive direction from Indigenous community leaders and Nations across BC's five regions through authentic engagement. First Nations in BC developed these directives to describe the fundamental standards and instructions for our new health governance relationship.

  1. Directive #1: Community-Driven, Nation-Based
  2. Directive #2: Increase First Nations Decision-Making and Control
  3. Directive #3: Improve Services
  4. Directive #4: Foster Meaningful Collaboration and Partnership
  5. Directive #5: Develop Human and Economic Capacity
  6. Directive #6: Be Without Prejudice to First Nations Interests
  7. Directive #7: Function at a High Operational Standard

Governance Structure

We have produced two diagrams to illustrate the key health governance documents and perspectives of this structure created by BC First Nations, for First Nations.