A sub-region is a smaller geographic planning region within the Hamilton Niagara Haldimand Brant LHIN that will help the LHIN to better understand and address patient needs at the local level. 

By looking at care patterns through a smaller, more local lens, the LHIN will be able to better identify and respond to community needs and ensure that patients across the entire LHIN have access to the care they need, when and where they need it. This includes the needs of Francophone Ontarians, Indigenous communities, newcomers and other individuals and groups within the LHIN whose health care needs are unique and who often experience challenges accessing and navigating the health care system. Sub-regions will serve as a focal point for population-based planning, performance improvement and service integration. 

This approach will not restrict Ontarians as they make their health care decisions. 

Sub-regions are not an additional layer of bureaucracy. They will not be separate organizations or administrations, and will not have their own staff or boards.



Sub-regions enable patients to receive care that is accessible, integrated, consistent, high quality, and that makes a difference. 

Sub-regions enable patients to have:

  • Equitable and reliable access to care in their community
  • A single point of access to primary care, when needed
  • Access to system navigation and care coordination that meets their needs
  • An active role working together with providers as one care team
  • Information that follows their health care journey so they only have to tell their story once
  • An active voice in health system design and delivery
HNHB sub-region map

HNHB LHIN Sub-Regions

There are six sub-regions in the Hamilton Niagara Haldimand Brant LHIN:

Further engagement and data are required to support future decisions regarding the areas of Six Nations of the Grand River and Mississaugas of the New Credit First Nation.

View the sub-region map in English or French

Sub-Region Development

Hamilton Niagara Haldimand Brant LHIN sub-regions were established based on existing care patterns in order to achieve a more local approach that will better serve Ontarians by ensuring that services reflect the unique needs of patients and communities.

Sub-regions have been in place informally in the LHIN for many years and they are now being formalized.

In formalizing our sub-regions, the LHIN used the best available evidence – including patient referral patterns and insights gleaned from local engagement with patients, providers and community members – to ensure that sub-regions align with local needs. Health Links have been integrated into sub-region geographies.

Step 1: Data Analysis

Using Health Links as a foundation, the following data was reviewed and analyzed:

  • Population characteristics
  • Health service use patterns
  • Availability of core services
  • Existing relationships

Step 2: Community Engagement

A series of engagement sessions was held to gather feedback and input on various options for potential sub-region areas.

Step 3: Board and Ministry Review

Six proposed sub-region areas received endorsement from the HNHB LHIN Board of Directors at its September 28, 2016 meeting and from the Ministry of Health and Long-Term Care on January 16, 2017.

Identifying Priorities

Initial priorities for action for each sub-region will be a combination of provincial and LHIN priorities consistent across sub-regions, and local priorities for improvement based on local population needs.

Physicians, nurses and other clinicians, as well as patients, caregivers and their families will play a role in planning, priority setting and implementing improvement activities at the sub-region level to ensure the needs of patients and communities are being met.

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