This is an important question, because we believe that the best way to improve health services, not only clinical care but all health services, through integration of health services is by creating more first nations control over these services. I think one of the honourable members mentioned the model in British Columbia, which is probably the furthest advanced transformation that we have in the works. Since 2013 we have transferred all operations, and this model is now fully under the control of the First Nations Health Authority, with the important participation of the provincial government in that.
This is the best way to integrate the services to maximize the impact of the investment and to get rid of some of the challenges we have with jurisdictions on who is doing what and why. I think that when you get to the kind of model we have in B.C., these kinds of questions are not important anymore. What matters is the continuum of services and the continuum of care in the community.
In all provinces we have co-management tables with first nations, and in most provinces we have trilateral tables to deal with service integration. Unfortunately, I would say that in the last few years, the focus has not been much on clinical care. One of the most important priorities for our first nations partners, and often for the provinces as well, has been on the mental health side, but we have made great progress there.
I will ask my colleague Valerie Gideon to give you a sense of where we are with the main initiatives in various regional and trilateral tables.