Physician Compensation & Recruitment

There are two main physician compensation models in B.C: fee-for-service and the Alternative Payment program. Physicians can also receive funding through rural practice programs, which focus on recruiting and retaining physicians in rural practice, and through the Medical On-Call Availability program, which compensates physicians for being on call.

Alternative Payments Program

The Alternative Payments program works with and funds health authorities to improve service delivery and patients’ access to services through alternative physician compensation models to fee-for service.

PCN Family Physician Contracts

Group Contract for practicing full-service family physicians

The B.C. Ministry of Health has introduced a new group contract option for B.C.’s family physicians. The group contract is for full-service family physicians with established patient panels who work together to provide community longitudinal care. It provides choice for family physicians who want to move away from fee-for-service (FFS) and practice in a different way.

The ministry consulted with Doctors of BC during the development of the contract, which support the ministry’s ongoing efforts to transform primary care in the province through the patient medical home (PMH) and primary care network (PCN) initiatives. The contract requires physicians to align their services with the principles of the PMH. Physicians must participate in an existing PCN or commit to actively support the development of a PCN in the community, where one is planned.

Established group practices of three or more full service family physicians with an interest in the Practicing Full-Service Family Physician Group Contract, are encouraged to visit the Doctors of BC’s website and review resources including:

  • A contract template;
  • A recorded contract webinar; and,
  • A contract FAQ.

Groups wishing to participate in a formal expression of interest (EOI) process for the contract are required to complete a ministry EOI Form, available here (PDF, 575KB).

To align with PCN planning and implementation efforts and to manage the volume of demand, the ministry will be accepting EOIs in a staged approach.

Stage 1: EOIs will be accepted from physician groups in communities with PCNs with approved plans and implementation underway. Communities included in the first stage of the EOI process outlined in the table below.

Community Health Service Area (CHSA) and their associated PCN.

If you are not certain of your CHSA, enter your address in the Health Geographies Portal.

Fraser Health

PCN ID

PCN NAME

CHSA ID

CHSA NAME

547

Burnaby - Brentwood/Hastings

2221

Burnaby Northwest

546

Burnaby - Edmonds

2224

Burnaby Southeast

545

Burnaby - Metrotown

2223

Burnaby Southwest

470

Chilliwack and Fraser Health Rural - Fraser Health Rural

2150

2110

Agassiz/Harrison

Hope

469

Chilliwack and Fraser Health Rural - North and South Chilliwack

2121

2122

South Chilliwack

North Chilliwack

70

Fraser Northwest - New Westminster

2210

New Westminster

74

Fraser Northwest - North Coquitlam and Port Moody/Anmore/Belcarra

2241

2245

North Coquitlam

Port Moody/Anmore/Belcarra

72

Fraser Northwest - Port Coquitlam

2244

Port Coquitlam

73

Fraser Northwest - Southwest and Southeast Coquitlam

2242

2243

Southwest Coquitlam

Southeast Coquitlam

414

Mission PCN Community

2141

2142

South Mission

North Mission

75

Ridge Meadows - Haney Pitt

Meadows

2231

2232

Haney

Pitt Meadows

76

Ridge Meadows - Maple Ridge

2233

Maple Ridge Rural

421

White Rock South Surrey PCN Community

2342

2341

 White Rock

 South Surrey

Interior Health

PCN ID

PCN NAME

CHSA ID

CHSA NAME

556

Central Interior Rural PCN Community

1440

1461

1462

100 Mile House

West Cariboo

Williams Lake/East Cariboo

553

Central Okanagan PCN 1 - Kelowna Central

1374

1375

1377

 Glenmore

 Downtown Kelowna

 Okanagan Mission

554

Central Okanagan PCN 2 - Rutland/Lake Country

1376

1373

Rutland

Lake Country

555

Central Okanagan PCN 3 - West Kelowna/Peachland

1371

1372

Central Okanagan Rural

West Kelowna

524

East Kootenay PCN Community

1110

1120

1130

1140

1150

1160

Fernie

Cranbrook

Kimberley

Windermere

Creston

Golden

430

Kootenay Boundary PCN Community

1210

1220

1230

1240

1250

1260

1270

Kootenay Lake

Nelson

Castlegar

Arrow Lakes

Trail

Grand Forks

Kettle Valley

549

South Okanagan Similkameen PCN Community

1310

1320

1330

1340

1380

Southern Okanagan

Penticton

Keremeos

Princeton

Summerland

Northern Health

PCN ID

PCN NAME

CHSA ID

CHSA NAME

472

Prince George PCN Community

5241

5242

5243
 

5244
 

5245

Prince George City - North

Prince George City - Central

Prince George City -
Southwest

Prince George Southwest
Rural

Prince George North Fraser Rural

Vancouver Coastal Health

PCN ID

PCN NAME

CHSA ID

CHSA NAME

457

North Shore - East

3313

3314

3311

North Vancouver DM - Central

North Vancouver DM - East

North Vancouver City - East

456

North Shore -  Central

3312

3315

North Vancouver City - West

North Vancouver DM - West

455

North Shore - West

3321

3322

3323

West Vancouver - Lower

West Vancouver - Upper

Bowen Island/Lions Bay

461

Richmond PCN 1 - West

3114

3115

3112

Thompson/Seafair

Steveston

Blundell

462

Richmond PCN 2 - Centre

3111

Richmond City Centre

463

Richmond PCN 3 - East

3116

3117

3113

East and West Cambie/Bridgeport

Gilmore/Shellmont/East/Hamilton

Broadmoor

447

Vancouver PCN 1 - City Centre

3211

3212

3213

Downtown Vancouver

West End

Fairview

448

Vancouver PCN 2 - Centre North

3221

3222

3223

Downtown Eastside

Northeast False Creek

Grandview-Woodland

449

Vancouver PCN 3 - Northeast

3231

3232

3233

Cedar Cottage

Hastings-Sunrise

Renfrew-Collingwood

450

Vancouver PCN 4 - Westside

3241
 

3242
 

3243

3244

Shaughnessy/Arbutus
Ridge/Kerrisdale

West Point Grey/Dunbar-
Southlands

University of British Columbia

Kitsilano

451

Vancouver PCN 5 - Midtown

3251

3252

3253

Kensington

Mount Pleasant

South Cambie/Riley Park

452

Vancouver PCN 6 - South

3261

3262

3263

3264

Killarney

Oakridge/Marpole

Sunset

Victoria-Fraserview

Island Health

PCN ID

PCN NAME

CHSA ID

CHSA NAME

596

Comox Valley PCN Community

4311

4312

4313

Comox

Comox Valley Rural

Courtenay

429

Cowichan Valley PCN Community

4211

4212

4220

4231

4232

4233

4234

South Cowichan

Central Cowichan

Cowichan Valley West

Ladysmith

Ladysmith Rural

Chemainus

Penelakut and Thetis Islands

464

Oceanside PCN Community

4251

4252

4253

Parksville

Qualicum Beach

Oceanside Rural

595

Saanich Peninsula PCN Community

4131
 

4132

4133

4134

Royal Oak/Cordova
Bay/Prospect

Central Saanich

North Saanich

Sidney

594

Western Communities PCN Community

4119

4118

4121

4122

4123

4124

4125

Esquimalt

View Royal

Colwood

Metchosin

Langford/Highlands

Sooke

Juan de Fuca Coast

UAS

Victoria PCN Community

4111
 

4112

4113

4114

4115

4116

4117

Downtown Victoria/Vic
West

James Bay/Fairfield

Oaklands/Fernwood

Oak Bay

Gordon Head/Shelbourne

Quadra/Swan Lake

Interurban/Tillicum

UAS

Nanaimo PCN Community

4241

4242

4243

4244

4245

4246

Downtown Nanaimo

Departure Bay

Nanaimo North/Lantzville

Nanaimo South

Nanaimo West/Rural

Cedar/Wellington

Stage 2 of EOI process will include communities in final stages of PCN planning. Information on communities included in stage 2 will be provided prior to stage 2 intake. Clinics eligible under stage 1 may continue to submit during stage 2.

Stage 3 of EOI process will include all communities. Physicians who are in communities without approved PCN plans in place must be willing to commit to participating in the PCN when available once plans are approved.

In addition to the ministry EOI form, physician groups should consult instructions for completing the Form here (PDF, 96KB); and, instructions for encrypting and securely submitting the form to the ministry here (PDF, 814KB)

If you have questions about the EOI process, please contact PCN.Compensation@gov.bc.ca.

Individual Contract for new-to-practice family physicians

The revised new to practice contracts will continue to be available to family physicians without a patient panel who are interested in opening up a longitudinal practice. Access to these will be through a similar process that currently exists in relationship to PCN planning. If there is interest within one of the communities listed above, please contact your Division of Family Practice to discuss opportunities within your PCN. Outside of PCN communities, we will be considering these requests at the Ministry in relation to overall primary care need in the community, and as an early draw on future PCN plans. Please contact your Division of Family Practice to coordinate discussion and next steps.

Rural Practice Programs

Rural Practice Programs work with health authorities and other partners to address issues, and develop policy and programs to improve health services in rural areas of the province. Rural Practice Programs manages a number of programs such as the Rural Retention program and programs under the Subsidiary Agreement for Physicians in Rural Practice.

Medical On-Call Availability Program

The Medical On-Call/Availability Program (MOCAP) compensates physicians who are part of a call rotation (or physician group) for providing new or unassigned patients requiring emergency care with continuous coverage that meets the standards of care as a minimum requirement of response to emergency on call.

Return of Service Programs

The Province of British Columbia agrees to fund a designated number of UBC postgraduate medical education positions (residency positions) in exchange for services to the B.C. health system in a health authority-identified community of need. The expected commitment is one year of service for each year of postgraduate medical education, to a maximum of three years. Applicants that match to a position must sign a Return of Service (ROS) contract with the Ministry of Health.