The Toronto Central Local Health Integration Network (LHIN) and the City of Toronto (City) continue to expand collaborations to promote healthy communities from two perspectives: the City as a municipal government with the highest point of leverage on social determinants of urban health, and the LHIN as the planner and funder of local health care services. The Partnership aims to leverage these existing linkages and create a commitment to sustained and coordinated planning and decision-making that capitalizes on respective levers, resources and expertise to advance population health in a sustainable manner.


Improved population health outcomes built on a foundation of integrated and optimized planning for health and social service programming and infrastructure enabled by a strategic and operational partnership between the City and the Toronto Central LHIN.

The Partnership will focus on three main areas of collective intervention, supported by data sharing and a structure for joint decision-making across the organizations.

  1. Planning for Population Growth and Demographic Change : Enhanced integration of planning for City and Health infrastructure to improve capacity to capitalize on opportunities


  2. Effective, CoherentProgram Delivery: Leverage resources and assets across both organizations to optimize services and outcomes for shared public


  3. Advancing Population Health: Holistic understanding of our communities, their diversity, their inequities

By focusing efforts in the identified areas, the City and the LHIN hope to achieve a transformed relationship that enables:

  • A healthier city of Toronto – where residents have improved access, navigation, and coordination of services they need
  • A common language and understanding of the city, including its diversity and inequities;
  • A sustained and coordinated decision-making framework;
  • An integrated and strategic health service plan that identifies service and infrastructure needs and preferred models throughout the city;
  • Effective program delivery that optimizes resources and investments; and,
  • Improved health equity for Toronto’s vulnerable and marginalized.


As part of Phase One of the Partnership, the City and the Toronto Central LHIN will advance the Partnership Objectives through focused efforts on five priority populations:

Primary Care Capacity Planning:

  • Develop detailed primary care capacity plan that identifies population needs, anticipated growth, and existing assets in order to inform investment planning throughout the City.

Create City’s Seniors Housing and Services Entity to define an integrated service model at seniors-designated Toronto Community Housing buildings:

  • Capitalize on the newly-formed Seniors Housing and Services Entity to jointly define a model of care and a suite of on-site supports (both social and health services) that meet client need and improve quality of life for community housing tenants.

Develop a seniors vulnerability map to identify opportunities for neighbourhood investments along the continuum of seniors care and service supports:

  • As part of long-term care capacity planning, develop detailed map to identify population needs and anticipated growth – particularly related to frail and vulnerable seniors - in order to inform investment planning along continuum of seniors care and service supports and assets.

Develop an approach to integrate primary care, mental health and addictions, and social services for shelter clients:

  • Develop coordinated approaches that integrate primary care, mental health and addictions, and social services to enable comprehensive and appropriate health services for shelter clients, recognizing the importance of social determinants of health.

Explore options for a new child and family hub, co-locating pediatric primary care with children’s services:

  • In support of City’s vertical communities initiative, explore options for a new child and family hub in the podium space of a development in one of city’s high growth areas (Waterfront, Niagara, Bay Corridor). The hub would include a pediatric primary care clinic co-located with other child and family services.



Toronto Central LHIN:

Madeleine Morgenstern

Senior Policy Advisor,


City of Toronto:

Andrea Austen

Policy Development Officer


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