Alberta
Sun setting on AHS as first of four provincial health agencies, Primary Care Alberta set to launch

Primary Care Alberta, the new provincial health agency overseeing and coordinating the delivery of primary health care services, will become operational later this fall.
Alberta’s government is taking action to refocus the health care system so that every Albertan has access to a primary health care provider and timely, high-quality primary health care, no matter where they live.
Alberta’s new primary care provincial health agency, Primary Care Alberta, will create a modern, more responsive and unified health care system that prioritizes patients, empowers front-line health care professionals and helps reduce pressures on the entire health system.
The immediate priority of Primary Care Alberta is to ensure every Albertan has access to high-quality primary care services in all areas of the province, so all Albertans and their families are supported in their day-to-day health needs through every stage of life. The new primary care agency will focus on supporting integrated teams of family physicians, nurse practitioners and pharmacists to provide patients with the best care possible.
“Standing up Primary Care Alberta is an important milestone in refocusing the health care system to put patients first and give our front-line experts the support they need to ensure Albertans are receiving the care they deserve.”
Kim Simmonds, the current assistant deputy minister of strategic planning and performance at Alberta Health, will be appointed as chief executive officer of Primary Care Alberta. Simmonds brings a wealth of public and private sector experience to the role and has extensive experience working with stakeholders across the health care system. She has experience working with clinicians and understands the need for data and evidence-based decision-making when it comes to delivering primary care services to Albertans, no matter where they live.
“If primary care is to be the foundation on which the entire health system stands, every Albertan must have an ongoing connection and trusting relationship with a family doctor or health care team. They must belong to a health home where they are known and where they don’t have to tell their health story over and over again. There is much work to do in Alberta to achieve these goals, and I’m eager to get going to help make it happen.”
Modernizing Alberta’s Primary Care System (MAPS)
In 2022, the Modernizing Alberta’s Primary Care System (MAPS) initiative was launched to recommend ways to strengthen Alberta’s primary health care system. Alberta’s government undertook extensive engagement with its primary care providers and stakeholders to develop a guide to strengthen primary health care in Alberta. The MAPS final report recommended creating a single governance structure that supports an integrated team of health care professionals with data sharing within and across sectors.
Improving the coordination and delivery of primary care was also something Alberta’s government heard during provincewide engagement sessions held earlier this year as part of efforts to engage with Albertans and health care professionals on how to refocus the health care system. This made-in-Alberta solution is the first of its kind to be established in a provincial health care system. The agency is a dedicated organization to support governance, oversight, delivery, operation and coordination, a significant step being taken to improve the quality of health care delivery in the province.
Quick facts
- The Provincial Health Agencies Act enables the transition from one regional health authority, Alberta Health Services (AHS), to an integrated system of four sector-based provincial health agencies: primary care, acute care, continuing care, and mental health and addiction.
- The agencies will be responsible for delivering integrated health services, ensuring Albertans receive timely access to care regardless of where they live.
- Some of Primary Care Alberta’s longer-term priorities include:
- Engaging physicians and providing leadership opportunities to lead their peers through the change process.
- Incentivizing care models that improve health outcomes and patient experience.
- Providing tools to primary care providers, such as enhancing the current Find a Doctor website and e-Referral, that benefit both providers and patients.
- Setting standards for primary care so Albertans have consistent services.
- Funding primary care networks that bring practitioners together to implement provincial initiatives and address regional needs.
- Developing chronic disease care models to reduce the burden of chronic disease on patients and the health care system.
- More than 30,000 Albertans have had the opportunity to share their thoughts and ideas directly on the refocusing through in-person engagement sessions, online feedback forms and telephone townhalls.
- In addition to public engagement sessions, dedicated engagements were held with Indigenous communities, the francophone community and other key health partners.
Related information
Alberta
Why the West’s separatists could be just as big a threat as Quebec’s

By Mark Milke
It is a mistake to dismiss the movement as too small
In light of the poor showing by separatist candidates in recent Alberta byelections, pundits and politicians will be tempted to again dismiss threats of western separatism as over-hyped, and too tiny to be taken seriously, just as they did before and after the April 28 federal election.
Much of the initial skepticism came after former Leader of the Opposition Preston Manning authored a column arguing that some in central Canada never see western populism coming. He cited separatist sympathies as the newest example.
In response, (non-central Canadian!) Jamie Sarkonak argued that, based upon Alberta’s landlocked reality and poll numbers (37 per cent Alberta support for the “idea” of separation with 25 per cent when asked if a referendum were held “today”), western separation was a “fantasy” that “shouldn’t be taken seriously.” The Globe and Mail’s Andrew Coyne, noting similar polling, opined that “Mr. Manning does not offer much evidence for his thesis that ‘support for Western secession is growing.’”
Prime Minister Mark Carney labelled Manning’s column “dramatic.” Toronto Star columnist David Olive was condescending. Alberta is “giving me a headache,” he wrote. He argued the federal government’s financing of “a $34.2-billion expansion of the Trans Mountain pipeline (TMX)” as a reason Albertans should be grateful. If not, wrote Olive, perhaps it was time for Albertans to “wave goodbye” to Canada.
As a non-separatist, born-and-bred British Columbian, who has also spent a considerable part of his life in Alberta, I can offer this advice: Downplaying western frustrations — and the poll numbers — is a mistake.
One reason is because support for western separation in at least two provinces, Alberta and Saskatchewan, is nearing where separatist sentiment was in Quebec in the 1970s.
In our new study comparing recent poll numbers from four firms (Angus Reid Institute, Innovative Research Group, Leger, and Mainstreet Research), the range of support in recent months for separation from Canada in some fashion is as follows, from low to high: Manitoba (6 per cent to 12 per cent); B.C. (nine per cent to 20 per cent); Saskatchewan (20 per cent to 33 per cent) and Alberta (18 per cent to 36.5 per cent). Quebec support for separation was in a narrow band between 27 per cent and 30 per cent.
What such polling shows is that, at least at the high end, support for separating from Canada is now higher in Saskatchewan and Alberta than in Quebec.
Another, even more revealing comparison is how western separatist sentiment now is nearing actual Quebec votes for separatism or separatist parties back five decades ago. The separatist Parti Québécois won the 1976 Quebec election with just over 41 per cent of the vote. In the 1980 Quebec referendum on separation, “only” 40 per cent voted for sovereignty association with Canada (a form of separation, loosely defined). Those percentages were eclipsed by 1995, when separation/sovereignty association side came much closer to winning with 49.4 per cent of the vote.
Given that current western support for separation clocks in at as much as 33 per cent in Saskatchewan and 36.5 per cent in Alberta, it begs this question: What if the high-end polling numbers for western separatism are a floor and not a ceiling for potential separatist sentiment?
One reason why western support for separation may yet spike is because of the Quebec separatist dynamic itself and its impact on attitudes in other parts of Canada. It is instructive to recall in 1992 that British Columbians opposed a package of constitutional amendments, the Charlottetown Accord, in a referendum, in greater proportion (68.3 per cent) than did Albertans (60.2 per cent) or Quebecers (56.7 per cent).
Much of B.C.’s opposition (much like in other provinces) was driven by proposals for special status for Quebec. It’s exactly why I voted against that accord.
Today, with Prime Minister Carney promising a virtual veto to any province over pipelines — and with Quebec politicians already saying “non” — separatist support on the Prairies may become further inflamed. And I can almost guarantee that any whiff of new favours for Quebec will likely drive anti-Ottawa and perhaps pro-separatist sentiment in British Columbia.
There is one other difference between historic Quebec separatist sentiment and what exists now in a province like Alberta: Alberta is wealthy and a “have” province while Quebec is relatively poor and a have-not. Some Albertans will be tempted to vote for separation because they feel the province could leave and be even more prosperous; Quebec separatist voters have to ask who would pay their bills.
This dynamic again became obvious, pre-election, when I talked with one Alberta CEO who said that five years ago, separatist talk was all fringe. In contrast, he recounted how at a recent dinner with 20 CEOs, 18 were now willing to vote for separation. They were more than frustrated with how the federal government had been chasing away energy investment and killing projects since 2015, and had long memories that dated back to the National Energy Program.
(For the record, they view the federal purchase of TMX as a defensive move in response to its original owner, Kinder Morgan, who was about to kill the project because of federal and B.C. opposition. They also remember all the other pipelines opposed/killed by the Justin Trudeau government.)
Should Canadians outside the West dismiss western separatist sentiment? You could do that. But it’s akin to the famous Clint Eastwood question: Do you feel lucky?
Mark Milke is president and founder of the Aristotle Foundation for Public Policy and co-author, along with Ven Venkatachalam, of Separatist Sentiment: Polling comparisons in the West and Quebec.
Alberta
Alberta Independence Seekers Take First Step: Citizen Initiative Application Approved, Notice of Initiative Petition Issued

Alberta’s Chief Electoral Officer, Gordon McClure, has issued a Notice of Initiative Petition.
This confirms a Citizen Initiative application has been received and the Chief Electoral Officer has determined the requirements of section 2(3) of the Citizen Initiative Act have been met.
Approved Initiative Petition Information
The approved citizen initiative application is for a policy proposal with the following proposed question:
Do you agree that Alberta should remain in Canada?
The Notice of Initiative Petition, application, and statement provided by the proponent are available on Elections Alberta’s website on the Current Initiatives Petition page.
As the application was received and approved prior to coming into force of Bill 54: Election Statutes Amendment Act, the Citizen Initiative process will follow requirements set out in the Citizen Initiative Act as of June 30, 2025.
Next Steps
- The proponent must appoint a chief financial officer within 30 days (by July 30, 2025).
- Once the 30-day publication period is complete and a chief financial officer has been appointed, Elections Alberta will:
- issue the citizen initiative petition,
- publish a notice on the Current Initiatives Petition page of our website indicating the petition has been issued, specifying the signing period dates, and the number of signatures required for a successful petition, and
- issue the citizen initiative petition signature sheets and witness affidavits. Signatures collected on other forms will not be accepted.
More information on the process, the status of the citizen initiative petition, financing rules, third party advertising rules, and frequently asked questions may be found on the Elections Alberta website.
Elections Alberta is an independent, non-partisan office of the Legislative Assembly of Alberta responsible for administering provincial elections, by-elections, and referendums.
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