
Shape BC's First Main Agreement for Nurse Practitioners

Share Your Perspective
In fall 2025, NNPBC invited nurse practitioners across BC to share their views on a potential Main Agreement for NPs.
Between September 3 and October 5, 339 NPs responded, offering valuable insight into current perspectives and information needs on this important initiative.
Read the results in our What We Heard report
Who's It For?
A Main Agreement would apply to all Nurse Practitioners in BC who are publicly funded, whether they are employed by a health authority or working under an independent service contract...
How Could It Help?
Currently, decisions about NP compensation and support are made without NPs at the table. A Main Agreement would give NPs a unified voice in shaping their profession's future ...
Learn More: What is a Main Agreement?
A Main Agreement is a formal, negotiated framework between a profession and the provincial government. It sets out shared priorities, responsibilities, and protections that support your practice and strengthen your role.
Are you a Nurse Practitioner in British Columbia?
This is your moment to shape the future of your profession. Learn what a Main Agreement could mean for NPs and help decide if now is the time to pursue one.
Your input matters. Explore, engage, and make your voice heard. There are three ways to get involved:

Register to Vote
Later this fall, NPs across the province will have the opportunity to vote on whether to give Nurses and Nurse Practitioners of BC a mandate to pursue a Main Agreement on their behalf.
Every NP will have a say. Register now to receive voting details by email, when they become available, and campaign updates.

Explore the Timeline
Early 2025
Sept 2025
Oct 2025
Fall 2025
Early 2026
Mid to Late 2026
2027
2028
Early engagement
The first phase of work included meetings with NPs and sector leaders across models of care. Broad engagement gave us an opportunity to share information and invite views through townhalls, NP community meetings, webinars for students as well as meetings with employer and policy leads in HEABC, health authorities and the BC Government.
Explore the Timeline
Early 2025
Early engagement
The first phase of work included meetings with NPs and sector leaders across models of care. Broad engagement gave us an opportunity to share information and invite views through townhalls, NP community meetings, webinars for students as well as meetings with employer and policy leads in HEABC, health authorities and the BC Government.
Sept 2025
Learn and participate
The Your Voice, Your Future campaign launches! NPs are encouraged to get informed and take part in an NP-wide survey that will help identify information gaps or needs related to pursuing a Main Agreement. We’ll also invite your input on a fair threshold vote to secure a mandate. Through this time, we’re encouraging you to talk with colleagues, invite thought leaders into your circles, and help surface the issues that matter most.
Oct 2025
What we heard
Once the survey closes on Oct. 3, we’ll report back on what we heard. If the results point to gaps, confusion, or a need for more clarity, we’ll take the time to work through questions and issues together before a vote. The goal is to ensure that the work we do is led by you and your needs and experiences.
Fall 2025
NPs vote
This is the turning point. NPs across BC will be asked to vote on whether NNPBC should pursue a Main Agreement on their behalf. This is not a vote on the agreement itself. It’s a decision on whether to move forward with building one. The vote will be confidential and secure, with clear communication on how to participate. Date TBD.
Early 2026
Build the foundation
If the vote passes, NNPBC will begin the work of building infrastructure needed to pursue a Main Agreement, including dedicated NP leadership and negotiating team, supported by internal staff. This phase ensures that the voices, systems, and protections are in place to engage in formal negotiations with government in a way that’s credible, collaborative, and grounded in good policy.
Mid to Late 2026
Broader engagement
No two NP roles are the same and this phase is about recognizing that. We’ll engage broadly across the profession to clearly define needs, challenges, and the supports necessary to strengthen the profession across all practice models. Input from patients, employers, and partners will also help shape this phase. By inviting in a wide range of perspectives, we’ll create a bargaining approach that reflects the diversity and strength of NP practice.
2027
Prepare for negotiation
From here, peer-identified NP leaders will work together to establish a clear negotiation framework. This includes draft proposals, supporting evidence, and issue prioritization. This is also the time to align with provincial priorities, understand fiscal and system contexts, and ensure the groundwork is in place to negotiate from a position of integrity, expertise, and readiness.
2028
Begin formal negotiations
With engagement complete and a negotiating framework in place, we move to the formal table. Negotiations with government begin, backed by a mandate, a team, an NP negotiating committee, and the collective insight of Nurse Practitioners from across BC. This is a historic step: the first time NPs in BC will be positioned to shape a Main Agreement that reflects their value, their complexity, and their role in building a stronger, more sustainable health system.
