The health and social services governance process was created to make strides towards improving the offer of and access to services, both locally and regionally, by implementing a model of governance that is adapted to the needs and realities of Quebec First Nations.1

Objectives of the process

To that end, the process has two objectives: 
  • Reinforce the local and regional decision-making capacity of First Nations communities and organizations with respect to the governance of health and social services in terms of existing programs, sectors and initiatives   
  • Renew the partnerships between First Nations and government institutions, in accordance with a model of governance adapted to the needs and realities of Quebec First Nations


Origin of the process

In 2006, the First Nations of Quebec collectively launched a reflection process and made the decision to introduce a blueprint for health and social services. A large-scale, far-ranging consultation took place across Quebec, which led to the development of the Quebec First Nations Health and Social Services Blueprint, 2007-2017: Closing the gaps... Accelerating change.

The health and social services governance project emanates from the conclusion reached by the First Nations that it is necessary to renew the current structure in order to move forward with their plans for self-determination.

Process progress

The process has been translated into a four-phased process that will end on March 31, 2016.  


Phase 1Portrait of the situation - 2014

The FNQLHSSC takes an inventory and conducts an analysis of the approaches taken to effect change in health and social services governance elsewhere in the world in recent years.

Completed activities 
  • Creation of new partnerships 
  • Inventory of existing models 
  • Analysis of the legal situation of Quebec First Nations 
Phase 2: Your opinion - 2014-2015

Community decision-makers are called on to formulate their opinion on the current governance structure. 

Completed activities
  • Meetings: 
    • February 2014
    • July 2014 
    • January 2015
    • July 2015
  • Formulation of the vision, values and principles to guide the project 
Phase 3: The options - Fall 2015

One or more governance models are developed, based on the information collected. The Chiefs, local managers and health and social services workers are consulted during the elaboration of the models. 

Upcoming activities
  • Development of proposed models and meetings with the health and social services directors and directors general
Phase 4: The choice - Hiver 2016

The First Nations speak, and choose one of the models developed. The First Nations will select, in their way, the governance model that is best adapted to their needs.
Upcoming activities

  • Finalization of the chosen model and meeting with the Chiefs to proceed with the model’s adoption in principle 


In keeping with the governance model chosen and according to the interests expressed by the First Nations, other actions could be taken, such as performing a feasibility study, undertaking negotiations with the federal and provincial governments and drafting a transition plan.

1. The process particularly targets non-agreement First Nations of Quebec.