How The Board Works

SWITCH BC’s Board of Directors has an independent, non-voting Chair appointed by the Minister of Health and 13 voting Directors representing healthcare unions, employers, and physicians.

The six employer Directors are appointed by the Health Employers Association of British Columbia (HEABC). The six employer Directors are from:

  • Health Employers Association of British Columbia (HEABC)
  • Interior Health
  • Island Health
  • Provincial Health Services Authority (PHSA)
  • SafeCare BC, affiliates
  • Vancouver Coastal Health

The six union Directors are appointed by their own bargaining associations:

  • Ambulance Paramedics and Ambulance Dispatchers Bargaining Association (APADBA)
  • Community Bargaining Association (CBA)
  • Facilities Bargaining Association (FBA)
  • Health Science Professional Bargaining Association (HSPBA)
  • Nurses’ Bargaining Association (NBA)
  • Resident Doctors of BC (RDBC)

One Director is appointed by Doctors of BC.

There are also two non-voting Directors appointed by the Ministry of Health and WorkSafeBC.

Board meeting management:

The Chair leads meetings and supports the CEO by:

  • setting expectations and accountability of the directors,
  • managing group decision making,
  • fostering open communication.

Decision Making:

The Board is committed to a consensus based decision-making model and has adopted the matrix below.

Terms and Definitions


All Directors agree and support the decision.


The details may not be perfect, but it is close enough for Directors to support the decision at the board table and outside of the meeting as well.


(If possible, postpone decision to have further discussion and information for the Board)

Director(s) has reservation and wants further discussion. The Director(s) may move to consensus or consent, or to down to concern based on additional information.


(If attempts to address concerns are not successful and a decision is required, the Board will proceed to a vote)

Director(s) has a fundamental concern and cannot support the decision.


 (If a decision is required, the Board will proceed to a vote)

Director(s) and/or related organization cannot support decision.

If, despite the Board’s best efforts and the Chair’s facilitation, consensus is not reached, the Chair will call a vote. 11 of the 13 Directors are required to vote in favour of the resolution for it to pass.