Provincial Health Transformation

At NL Health Services, we are committed to transforming health care in our province to build a healthier future for everyone. 

The Health Accord NL — Our province. Our health. Our future: A 10-year Health Transformation  outlines 59 calls to action. These focus on key areas where transformation is required, addressing the social determinants of health and rebalancing our health system across communities, hospitals and long-term care facilities.

To support this vision, we developed the Health Transformation Framework (PDF) (link-PDF in resources folder). This framework provides the foundation for change and includes the following elements:

• Dedicated leadership
  Transformation is led by the Vice President of Transformation – Well-Being, Vice President of Transformation – Health Systems, Senior Director of Health Transformation, and the Health Transformation team. This work is done in partnership with the Vice President of Quality and Learning Health Systems and the Quality and Learning Framework.

• Health Transformation Advisory Council
  This council is a subcommittee of the NL Health Services executive to guide and support transformation across the organization.

• Collaborative partnerships
  Transforming health care requires teamwork. Our partnerships and accountabilities include research and innovation, quality and learning health systems, digital health/technology, and the Health Transformation Table.

• Strategic Health Networks (SHNs) and Service Integration Teams (SITs)
  These formalized structures ensure services and initiatives are unified and integrated across the province, enabling a seamless and coordinated approach to healthcare delivery. 

Together, we are working to create a stronger, more sustainable health-care system that meets the needs of every community in Newfoundland and Labrador.

On August 28, 2025, the Honourable Krista Lynn Howell, Minister of Health and Community Services, and NL Health Services CEO, Dr. Pat Parfrey, provided an update to media on the progress of the Health Accord.

The Health Accord was released with 59 Calls to Action aimed at transforming the health system in Newfoundland and Labrador. As of August 2025:

• 34 actions have started implementation
• 25 actions are in policy development
• 0 actions have not yet been started

Learn More

You can view the presentation (PDF) delivered at the event and a highlight document (PDF) summarizing accomplishments to date.