In North Grenville, the demand for primary healthcare has long outpaced the available supply. While the Rideau Crossing Family Health Clinic has served the community admirably, it seems to have reached its physical and staffing capacity. With a growing population, and increasing concerns over access to primary care, it’s time for the Township of North Grenville to consider a bold, but practical move: establish its own municipally-operated healthcare clinic.
This is not an untested idea. Across Canada, municipalities are taking healthcare into their own hands – literally. In Colwood, British Columbia, the city made headlines in 2023 when it became the first in the country to hire family physicians directly as municipal employees. Offering job stability, pensions, and administrative support, Colwood removed many of the barriers that deter physicians from entering or staying in primary care practice. It wasn’t about competing with existing private clinics, it was about ensuring no resident went without a family doctor.
Orillia, Ontario, is exploring a similar strategy. Recognizing that nearly 25% of the region lacks access to a primary care provider, city councillors there are considering opening a municipal clinic and hiring physicians as city staff. Their aim is to enhance, not undermine, the local healthcare network by filling a gap that traditional models are no longer meeting.
In Manitoba, rural communities like Killarney-Turtle Mountain are actively recruiting international physicians and managing their relocation as part of a municipally driven recruitment strategy. These towns have realized that waiting for provincial solutions is no longer viable. Meanwhile, in Huntsville, Ontario, a physician incentive program funded by the town is already yielding results, with new doctors signing on to help address longstanding shortages.
North Grenville has a chance to follow this growing municipal trend. Simply encouraging more physicians to join the private sector won’t be enough, there’s nowhere for them to go within the Township. A municipally-operated clinic, built with a collaborative mindset, and not as competition, can complement existing services while expanding capacity.
Such a clinic could offer a modern team-based care model that includes nurse practitioners, physician assistants, social workers, and administrative staff, all working under the umbrella of the municipality. With support from provincial and federal programs such as Ontario’s primary care transformation funds or the federal Foreign Credential Recognition Program, North Grenville could create a sustainable and forward-looking solution tailored to its own needs.
How to Move Forward: A Practical Path for the Township
To begin, North Grenville’s municipal council could establish a Healthcare Services Task Force to study local demand, identify gaps in coverage, and recommend a viable service delivery model. This task force should include community health experts, residents, and local politicians.

Next, the Township should apply for funding through Ontario Health’s community-based primary care programs, and the federal government’s health human resources strategy. Partnering with the local hospital, regional health teams, and post-secondary institutions could support the recruitment of new healthcare professionals, including recent graduates and internationally trained physicians.
Land acquisition or repurposing of an existing municipal facility could provide a location, with design input ensuring accessibility, environmental sustainability, and integrated team care. North Grenville does have the amazing resource of the Kemptville Campus, with one of its strategic pillars being “Health and Wellness”. The Township could also offer incentives such as relocation grants, housing support, and flexible hours to make municipal employment attractive to prospective staff.
Finally, a clear communications strategy should be launched to explain that the goal is not to replace or compete with existing providers, but to enhance and expand healthcare access in underserved areas and improve outcomes for all residents.
It’s time to stop waiting and start acting. Our citizens deserve timely, reliable healthcare. Let’s build it, right here at home.
Sources
• https://tnc.news/2024/12/26/b-c-city-hiring-family-doctors-as-municipal-government-workers
• https://barrie.ctvnews.ca/orillia-could-hire-family-doctors-to-create-municipal-clinic-1.7173907
• https://www.winnipegfreepress.com/breakingnews/2024/04/19/diagnosis-critical-desperate-manitoba-municipalities-recruiting-doctors-on-their-own
• https://barrie.ctvnews.ca/incentive-program-attracts-new-physicians-to-huntsville-to-address-shortage-in-primary-care-1.7093138
• https://www.canada.ca/en/employment-social-development/news/2025/03/the-government-of-canada-is-investing-up-to-143-million-to-help-address-labour-shortages-in-the-health-sector.html

