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A Team Based, Patient Medical Home

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. We now have two sites, one based at Eagle Creek Medical Clinic by Victoria General Hospital and the other on Richmond Road across from Royal Jubilee Hospital. The team consists of multi-disciplinary professionals 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.

HCCT is no longer accepting referrals from the community at large.

Please refer to our "How to Refer" page for more information

Victoria Team - Serves Victoria, Saanich, Oak Bay
Team Lead: Dr. Glen Manders
Suite 103, 2020 Richmond Rd. Victoria, BC
Phone: 778-410-7044
Fax 778-265-3169 

Westshore Team -
Serves View Royal, Esquimalt, Langford, Highlands, Metchosin, Colwood, Sooke
Team Lead: Dr. Spencer Cleave
Unit 120 - 27 Helmcken Rd
Victoria, BC
Phone: 250-940-5692

Fax: 778-265-3169

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, NP

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, SW

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.  


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.


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.

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