Presentation: View Royal Community Primary Care Attachment Clinic

A Growing Primary Care Crisis in View Royal

• 12,782*: View Royal residents and growing

• ~35%: Estimated residents currently unattached

• ~4,500+: Residents without a family care provider

• Unattached residents rely on emergency departments, urgent care centres, walk-in clinics and paid services — driving up system costs and congestion.

• Reduced preventative care leads to poorer chronic disease management and worse long-term health outcomes for residents.

• Military families who frequently move find greater challenges securing primary care.

*BC Stats 27 May 2025 Update

A Community-Governed Solution

The proposed View Royal Community Primary Care Attachment Clinic would operate as an independent non-profit society under the BC Societies Act — attaching unattached residents through a sustainable, team-based model aligned with provincial and Island Health priorities.

Or

This may work as a Partnership Agreement as defined by the Community Charter.

• Municipal representation on a community Board
• Non-profit society — not a municipal service
• Physician & Nurse Practitioner compensation via provincial billing
• Aligned with Island Health and PCN priorities

Team-Based Primary Care — 2,500 sq. ft.

• Family Physicians & NPs: Longitudinal attachment-based care, preventative health, and chronic disease management.
• Registered Nurses: Clinical support, triage, and care coordination embedded within the care team.
• Mental Health Supports: Integrated mental health access within primary care — reducing specialist wait times.
• Allied Health: Social work, dietitian, and other allied professionals as part of a full-spectrum team.
• Virtual Care Integration: In-person and virtual care appointments for improved access and patient convenience.
• Care Coordination: Administrative and referral support to connect patients to the right services efficiently.

Who We Serve and How

Clinical Services

• Longitudinal family and preventative care
• Chronic disease management
• Senior’s care and women's health
• Mental health supports
• Culturally informed care pathways
• Attachment for Health Connect Registry residents

Priority Populations

• Unattached View Royal Residents: Currently registered in BC Health Connect Registry
• Seniors & Vulnerable: Prioritised for complex care and chronic conditions
• First Responders: View Royal Fire Service members and Westshore RCMP
• Military Families & Veterans: CAF veterans and military families

Six Pillars of the Initiative

• Primary Care Attachment: Improve attachment rates for View Royal residents on the Health Connect Registry.
• Long-Term Sustainability: A financially viable, operationally independent healthcare delivery model.
• Community Health Outcomes: Preventative care, chronic disease management, and continuity of longitudinal care.
• Healthcare System Support: Reduce non-emergent emergency department utilization across the region.
• Regional Collaboration: Partner with Island Health, Division of Family Practice, and community organizations.
• First Responder: Taking care of those who take care of us and keep our community safe.

Community Board Governance Structure

Board Composition

• Town of View Royal
• Military / First Responders
• Healthcare Professionals
• Community Representatives
• Legal / Financial Expertise
• Healthcare System Advisors

The Town's role focuses on community leadership, partnership facilitation, and strategic oversight — not direct clinical operation.

Clinical liability and professional licensing risks remain with the non-profit board, medical director and individual practitioners.

Legal and Financial expertise will be included on the Board to protect society’s viability.

What View Royal Is Being Asked to Contribute

• ~$770K: One-time startup contribution for renovation
• $110K–$130K: Annual facility lease participation
• $8.61–$10.17 per yr: Per resident annually

• The Town would NOT directly fund physician compensation.
• Physicians bill through provincial compensation systems. NPs funded via Island Health / PCN allocations.
• Municipal role: startup facilitation, facility participation, governance, and operational stabilization. Long-term clinical funding remains a provincial responsibility.
• The Town is positioned as a community health enabler — not a healthcare operator.
• If Council directs staff to proceed, a detailed Class C cost estimate and feasibility assessment could support future federal and partner funding applications.

Estimated One-Time Capital Investment

Two-Year Financial Summary

Year 1

Year 2

Projections assume patient attachment ramping from 75 patients (Month 1) to 3,625 patients by end of Year 2. Physician compensation funded through provincial billing.

Patient Attachment Ramp — Years 1 and 2

Staffing FTE Ramp

• Year 1 Target: 1,250 residents
• Year 2 Target: 3,600 residents

Building a Collaborative Funding Model

• Island Health / PCN: NP allocations, allied health support, attachment program integration, operational and systems grants.
• First Responders: Attachment pathway for View Royal Fire Rescue members and Westshore RCMP.
• CFB Esquimalt / DND / VAC: Attachment pathways for veterans, and military families. Potential federal funding support.
• Grants & Philanthropy: Startup and tenant improvement grants, equipment funding, innovation and community wellness funding.
• Victoria Foundation & Legions: Community fundraising, service organization support, and local philanthropic contributions.
• Property / Landlord: Tenant improvement allowances, reduced lease escalation, phased rent commencement.

Measurable Impact for View Royal Residents

Community Attachment Context

• Total View Royal Residents: 12,782
• Estimated Unattached (35%): 4,500
• New Residents by 2030: 2,000
• Veterans / Military Families: 2,000
• Total Attachment Target: 8,500

Illustrative Targets

• Year 1 Attachment: 1,250 residents
• Year 2 Attachment: 3,600 residents
• Priority Groups: Seniors, medically vulnerable
• Military & Veterans: CAF families, first responders, Westshore communities
• ED Diversion: Measurable reduction in non-emergent ED visits

Recommended Next Steps

This concept paper is submitted to View Royal Municipal Council for consideration and direction on proceeding with exploratory next steps.

1. Establish Exploratory Discussions — Island Health, Division of Family Practice, Ministry of Health, Federal Grant Funding, and clinical partners.
2. Develop Foundational Documents — Governance framework, Class C Estimate, Non-profit incorporation, preliminary financial model, and feasibility analysis.
3. Confirm Partnership Capacity — Staffing partners, clinical leadership, and facility requirements.
4. Prepare Full Business Plan — Detailed plan, comprehensive funding strategy, and phased implementation roadmap.
5. Report Back to Council — Feasibility findings, funding pathways, governance recommendations, and implementation options.