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About Our High-Complexity Care Team

The High Complexity Care Team (HCCT) is an innovative program in the Primary Care Network (PCN)s of Greater Victoria, BC. HCCT is a multi-disciplinary primary care program dedicated to providing the highest quality care to patients with highly complex health needs. It has been formed in partnership with Island Health, the Ministry of Health and the Divisions of Family Practice.

Who We Are

The High-Complexity Care Team is a multi-disciplinary primary care program with a mandate to serve the most medically and socially complex patients in the Greater Victoria Area. We attach and provide longitudinal full-service primary care from birth to death. We generally do not provide inpatient, maternity or long-term care facility care. Our methodology is correlated with significant improvements in health-related quality of life and reductions in acute care use. We have two sites and teams, one based at Eagle Creek Medical Clinic by Victoria General Hospital and the other on Richmond Road across from Royal Jubilee Hospital, with
some team members working on both teams. We have family physicians, NPs, RNs, Social Work, Private Psychiatry Consult Liaison and we collaborate with various PCN services such as Pharmacy as well.

Our team consists of family physicians, NPs, RNs, Social Work, Private Psychiatry Consult Liaison and we collaborate with various PCN services such as Pharmacy dedicated to serving patients with complex health needs in the Greater Victoria area.


We exclusively accept patients on the Provincial Government's Health Connect Registry who are flagged for the PCN Priority Patient Program, and exceptional cases from Acute Care and other organizations.

Meet Our Team


Dr. Spencer Cleave

Family Physician, HCCT Medical Director, Westshore Team Lead

Dr. Cleave is a family physician, hospitalist and the founder and Physician Lead of the High Complexity Care Team: a team-based patient medical home for patients with highly-complex medical needs based at Eagle Creek. Dr. Cleave trained in medical school at UBC's Vancouver Campus followed by family medicine residency in the Victoria program. He has worked as a rural family physician in a variety of remote settings throughout western Canada and the North. Dr. Cleave has also practiced as a rural emergency physician, critical care associate and most recently a hospitalist physician at Victoria General Hospital. In his spare time, he enjoys spending time with his wife and sons and maintaining a career as a professional musician in Victoria. 


Lindsey Strang

Nurse Practitioner

Lindsey Strang was born and raised in Victoria. She graduated nursing school in 2007 from University of Victoria. She worked for a short time in Victoria in general medicine then moved to Vancouver and spent most of her RN career working in the emergency department at Vancouver General Hospital. In 2013, she returned to school at University of British Columbia to complete the Masters of Nursing and Nurse Practitioner program. After graduating in 2016, she worked as an NP with the Thoracic Surgery team. After having her second child, she and her family decided to move back to Victoria. She started with the High Complexity Care Team in August of 2019. In her off time she enjoys hikes, gardening and playing outside with her family.


Lynn Simonson

Social Worker

Lynn has been a Social Worker since she graduated from University of Victoria in 1996 with a Bachelor of Social Work. She has lived and worked in both rural and urban settings. The decade spent in the ghost town of Sandon BC with her children were formative years. She also spent another decade serving the community of Sooke. The bulk of her practice has been on interdisciplinary  teams, partnered with primary health care providers and in addressing mental health and substance use concerns. She treasures the restorative effects of nature, dogs and grandchildren.


Brian Cornelson

Family Physician

Dr. Brian Cornelson is a family physician with over forty years’ experience. He attended the University of Ottawa medical school and trained in Family Medicine at Sunnybrook Health Sciences Centre in Toronto. He has worked in five countries on three continents as well as Indigenous reserves in northwestern Ontario and a federal penitentiary in Manitoba. He established a family medicine training program at Seven Oaks General Hospital in Winnipeg, and led teams that established general practice training programs at the Capital University of Medicine in Beijing and at Addis Ababa University in Ethiopia. Over the past few years Dr. Cornelson has taken an increasing interest in promoting health rather than treating disease. On the mature side of 70, he has a particular interest in longevity with an emphasis on promoting healthspan rather than lifespan. Dr. Cornelson is a Clinical Professor in Family Medicine at the Cumming School of Medicine of the University of Calgary. Until recently he was the medical director of a clinic in Calgary that provides care to complex patients. The clinic also played a key role in Calgary’s response to the COVID pandemic. Dr. Cornelson recently moved to Victoria and has joined the High-Complexity Care Team at Eagle Creek Medical Clinic.


Dr. Glen Manders

Victoria Team Lead

Dr. Glen Manders was born in Prince George and raised in Victoria. He attended medical school at UBC followed by a Family Medicine residency at the University of Calgary.  Dr. Manders currently works as a Family Physician with the High Complexity Care Team and as a Hospitalist at the Royal Jubilee Hospital. When not working he enjoys music, travel (pre-Covid), gardening and spending time with his family and friends. 


Dr. Oona Hayes

Family Physician

Dr. Oona Hayes (she/her) has been an uninvited guest on the traditional and unceded lands of the Esquimalt, WSANEC and Songhees people since 1999. She completed her family practice residency at the UBC Victoria site and has practiced in various settings. She is honoured to work with the HCCT and its patients. 


Gloria Pichette

Registered Nurse

Grew up in North Western Ontario; Manitouwadge ( Cave of the Great Spirit). Moved to Thunder Bay to attend University; graduated from Lake Head University in 2007 Bachelor of Science. Registered Nurse; Specialized in mental Health. Worked on Acute Adult Mental Health for 15 years. Moved to Comox in 2007; initiating Nursing career. Also did Volunteer Out Reach nursing On the Care-A -Van for 4 years.  In 2020 moved to Victoria to explore diversity in nursing and worked at RJH acute mental health. Decided to move to community work in 2021 and began working for High Complexity Care team.  In spare time I love to watch documentaries. Spend time with family, friends and my beloved dog "Hot dog".  I enjoy the outdoors, camping, music and comedy. I love people and helping in any way possible.

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Seren grew up and attended nursing school in Calgary, Alberta. After graduating nursing school in spring
2023, she moved to Victoria. During nursing school Seren spent a summer working for the home care
program in Whitehorse, Yukon, and worked as a nursing assistant at a detox center in Calgary. Since
becoming an RN and moving to Victoria, Seren has spent time working at Victoria detox and at Coastal
Sage Healing House. Seren is currently completing a Certificate of Advanced Nursing Practice in
Addiction and Mental Health at the University of Calgary as part of her Master of Nursing degree. Seren
is passionate about providing safe and non-judgmental care and is excited to be working with the HCCT
staff and patients. In her free time Seren enjoys outrigger paddling, running, traveling, camping, and

Seren Hampshire

Registered Nurse

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