A Primary Health Care community planning process was initiated in May 2008 based on a Memorandum of Understanding between the Vancouver Island Health Authority (VIHA), the Gabriola Health Care Society (GHCS), the Ministry of Health (MoH) and the physicians that provide services on Gabriola. The residents of Gabriola recommended the following focuses for action: Coordination of both preventative and primary health care services, Improved communication, Attraction and retention of physicians, Integration of nurses and nurse practitioners into Primary Health care on Gabriola, and Long term planning that focused on integrated services. The parties to the Memorandum have committed to taking the first steps required to follow through on the recommended areas of action. Many of those first steps have already been initiated. A three month follow up report will inform the community of progress achieved within each of the areas of action.