Canada Spends Logo

Explore our Budget 2026 analysis

Program directory · Department of Indigenous Services

Primary Health Care

Program code
BYP03 (INDSC)
Core responsibility
Indigenous Well-Being and Self-Determination
In Departmental Plans
2023-24 – 2026-27 · New since an earlier plan

What it does

The Primary Health Care Authority provides primary care services to First Nations and Inuit individuals, families, and communities. The Clinical and Client Care (CCC) services component provides access to 24/7 healthcare services, including essential medications for urgent and emergent care in remote and isolated First Nations communities. This is crucial to improving the health status of First Nations in communities where primary care services would otherwise be hours away.

The Community Oral Health Services focuses on all populations living within First Nations and Inuit communities and supports culturally appropriate community-based programs, services, initiatives, and strategies related to oral health. The range of services includes prevention and health promotion, outreach and home visiting, treatment and referrals. Community Oral Health Services also collaborates with other professionals within the communities, such as nurses, school teachers, and directors to promote the importance of healthy practices to approach oral health as integral to holistic health.

To support the provision of primary health care service delivery, eHealth Infostructure provides funding, advice, and expertise to First Nations and Inuit communities and organizations for the delivery of eHealth services and Virtual Care technologies. These primary care services help facilitate continuity of care through the integration of health service delivery and health information systems.

Source: the department's Program Inventory, via GC InfoBase.

History and lineage

First appears in GC InfoBase's actual spending by program in 2023-24. The data does not record when a program was created; it may be older than its first appearance here, which is limited by the sources (program spending starts in 2010-11, Departmental Plans in 2018-19).

2023-242024-252025-262026-272027-282028-29Primary Health Care 2023-24: $535MPrimary Health Care 2024-25: $548MPrimary Health Care 2025-26: $392MPrimary Health Care 2026-27: $366MPrimary Health Care 2027-28: $360MPrimary Health Care 2028-29: $337MPrimary Health Care
Bars: spending by fiscal year (dark: actual; light: actual restated on the 2017-18 program structure; outlined: the latest plan's forecast; grey: related programs). Bands: each program in the lineage over the years it has data.
ProgramRelationYears with dataActual spending over those years
Primary Health CareThis program2023-24 – 2028-29$1.08B

No earlier or later program in the same department has a similar name.

Significant changes in scope and budget

Detected from the data: renames between plans, programs it appears to replace, merge with or split into (matched by name), year-over-year changes in spending of at least 25% and $5M, or in employees of at least 20% and 25 FTEs, linked budget measures, and results indicators added or dropped.

YearWhat changedSource
2024-25Indicators added: Number of sites with active Community Oral Health ServicesDepartmental Results Framework (GC InfoBase)
2024-25Indicators dropped: Number of First Nations and Inuit communities with access to oral health servicesDepartmental Results Framework (GC InfoBase)
2025-26Planned spending $392M, against $548M in 2024-25 (−28%).Latest Departmental Plan

Success criteria

The program's indicators from its department's Departmental Results Framework: the target set in each year's plan, and the result reported the following year. Source: GC InfoBase.

Historical: targets against results

Agency nurse costs as a percentage of total nursing costs nationally
Expected result: First Nations and Inuit individuals have access to Primary Health Care services
46.5%2023-24✗ not met

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2023-24≤ 45%202446.5%
This result remains higher than the target due to the increased demands on contracted resources in response to continued challenges with staffing exacerbated by COVID-19. It is important to note however, that the percentage has dropped from 2022-23.
Not met

Current: the 2026-27 plan's targets

Agency nurse costs as a percentage of total nursing costs nationally
Expected result: First Nations and Inuit individuals have access to Primary Health Care services
45%2026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≤ 45%2027—Planned

Future goals: targets due after 2026-27

Number of sites with active Community Oral Health Services
Expected result: First Nations and Inuit individuals have access to Primary Health Care services
3832026-27

Bars: result reported. Dashed line: target.

Report yearTargetDueResultStatus
2026-27≥ 3832029—Planned

Spending and employees: planned against actual

Spending

2023-24: $412M2023-24: $535M2023-242024-25: $415M2024-25: $548M2024-252025-26: $392M2025-262026-27: $366M2026-272027-28: $360M2027-282028-29: $337M2028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24$412M$535M
2024-25$415M$548M
2025-26$392M—
2026-27$366M—
2027-28$360M*—
2028-29$337M*—

Employees (FTEs)

2023-24: 8582023-24: 9402023-242024-25: 9292024-25: 1,0132024-252025-26: 8922025-262026-27: 9182026-272027-28: 8552027-282028-29: 8552028-29
Outlined bar: planned in that year's Departmental Plan (dashed: the latest plan, for years not yet reported). Filled bar: actual.
Show the numbers
Fiscal yearPlannedActual
2023-24858940
2024-259291,013
2025-26892—
2026-27918—
2027-28855*—
2028-29855*—

Planned spending, plan by plan

Each row is one year's Departmental Plan and its forecast for the next three fiscal years; read a column down to see how the forecast for one year changed. The last row is what was actually spent. Click an amount for its source. Biggest changes in federal spending plans

Actual spending is from Departmental Results Reports and the Public Accounts, as published in GC InfoBase. FTEs are full-time equivalents.