June 17, 2026
In April, nurse practitioners gave NNPBC a clear mandate to pursue a comprehensive compensation framework, sometimes referred to as a Main Agreement, with the Government of British Columbia.
Since then, we have been taking the next steps to turn that mandate into action.
This work is about building a more consistent, sustainable and profession-wide framework for NP compensation and related matters that affect NP practice, workforce sustainability and access to care across BC.
Here are three important updates on where things stand.
1. We have formally notified the Ministry of Health of the NP mandate
In April, nurse practitioners across BC were asked: Do you support NNPBC pursuing a comprehensive compensation framework for Nurse Practitioners in British Columbia?
More than 90% of participating voters responded yes.
NNPBC has now formally notified the Ministry of Health of this result and requested a meeting to establish next steps. In our letter, we asked the Ministry to:
- formally acknowledge the mandate expressed by nurse practitioners through the province-wide vote
- recognize NNPBC as the representative organization authorized by BC nurse practitioners to advance discussions regarding a comprehensive compensation framework
- work with NNPBC to establish a formal process for engagement, including scope, structure, timelines and next steps
These are key actions in helping move from the mandate vote into a more structured process with government.
2. We are hiring a Director of Nurse Practitioner Negotiations and Engagement
This senior leadership role will help build and lead the provincial function responsible for advancing a comprehensive compensation framework, guided by NPs. Reporting to the CEO, the director will support negotiations readiness, NP engagement, government relations, policy analysis, strategic partnerships and more.
The director will play a central role in helping NNPBC turn the NP mandate into a coordinated, well-supported process, while ensuring this work is informed by the voices and experiences of NPs across BC.
Applications are currently being accepted for this position, closing on July 15.
3. We opened a voluntary contribution fund
Negotiating and advancing a profession-wide compensation framework requires dedicated resources.
To support this work, NNPBC has established the NP Comprehensive Framework Fund, a voluntary contribution fund that will help support:
- legal and negotiation support
- policy analysis and advocacy
- paid NP leadership time for the NP Caucus and Negotiating Team
- staff coordination and operational support
- the infrastructure required to negotiate, maintain and advance this work
NNPBC invites NPs and partners to contribute to the fund as part of a shared investment in the future of NP practice in BC.
NNPBC has identified $1,500 as the suggested annual contribution amount, which can be made in the way that works best for you, including either all at once or over the course of a contribution year.
Moving this work forward together
The mandate vote was an important step, but it was only the beginning. The next phase is about building the structure and capacity needed to move from a clear mandate into a focused process with government.
That includes continuing to engage NPs across the province, establishing the team and supports needed to guide this work, and ensuring NNPBC has the resources required to pursue a comprehensive framework in a coordinated and accountable way.
Once key infrastructure is in place, NNPBC will begin a more formal engagement process with NPs to help shape the priorities, approach and next steps for this work.
Have questions about this work, or what a comprehensive compensation framework or Main Agreement could mean for NPs? Learn more in our FAQ.