Advancing system-wide progress with community updates across Horizon’s five regions
QUARTERLY REPORT TO OUR COMMUNITIES JUNE 2026
Advancing system-wide progress with community updates across Horizon
Report to Our Communities 1
MESSAGE FROM HORIZON’S PRESIDENT AND CEO
This momentum is reflected in both recruitment outcomes and the dedication and longevity of our workforce. At 13 recognition events in May, we celebrated 4,073 employees and 270 retirees for their service and milestones. Horizon continues to leverage innovation to make care more accessible, efficient, and patient-friendly. We have eliminated paper in several Medical Imaging departments, expanded 24/7 automated booking using Voice AI, and broadened our partnership with SeamlessMD to include maternal supports. At the same time, every day across our hospitals and emergency departments, our teams continue to manage significant demand and pressure, seen in long
As we continue to focus on delivering quality and safe people-centred care across Horizon, we’re strengthening how we communicate our progress to New Brunswickers. This edition of Report to Our Communities introduces a new approach to how we share information with our communities, alongside advancements in our strategic priorities. We are off to a strong start toward our 2026-27 hiring targets, welcoming 176 registered nurses, including four nurse practitioners, and 81 physicians in just the first two months. Our voluntary turnover rate remains well below the national benchmark at 5.6 per cent, reflecting the positive impact of our recruitment and retention efforts.
wait times, crowded units and delayed admissions. Our teams are working tirelessly to create a system that moves patients safely and compassionately through their care journey while supporting the teams who make that care possible. As summer approaches, we recognize the importance of rest and time to connect with family and friends, and we thank our dedicated health care professionals for continuing to provide around-the-clock care in our communities.
Margaret Melanson President & CEO
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MESSAGE FROM HORIZON’S BOARD CHAIR
Following strong early progress in year one of our Strategic Plan, we are moving forward with momentum. Our focus remains on building a more integrated, sustainable health system that delivers meaningful improvements for patients, families, and communities across New Brunswick. Access to family doctors and timely emergency care are top priorities for New Brunswickers, and we are actively working to address these needs. We are expanding primary care, with a new Family Health Team in Perth-Andover announced in May, and nine more planned this year. We continue to learn and expand these teams while recruiting the health professionals needed to better serve the needs of each community.
Improving patient flow and ensuring care is delivered in the right setting is also critical. A key challenge remains the number of medically discharged patients in hospital who no longer need acute care but are waiting for community placements — at times occupying 41 per cent of acute care beds. Expanding long-term care capacity is essential, and we must continue working toward solutions to improve access across the system. We recently opened a third patient flow command centre in Miramichi, joining Fredericton and Moncton to enhance coordination across care settings and help alleviate overcrowding. At the Saint John Regional Hospital, a new Discharge Lounge is improving transitions from hospital to
home, while Horizon teams now complete long-term care assessments in five hospitals to streamline processes and reduce delays. Emergency department diversion teams are also making a measurable impact, helping avoid more than 460 hospital admissions and saving over 8,000 patient days — ensuring hospital resources are available for those who need them most. While challenges remain, we’re encouraged by progress and our teams’ daily efforts to put patients first. Through collaboration and innovation, we are strengthening our system and building a healthier future for New Brunswickers.
Susan Harley Board Chair
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PROGRESS ON OUR STRATEGIC PLAN As part of Horizon’s Strategic Plan 2025-2030, Transforming Health Care Through Innovation , here’s a snapshot of our progress in Year 2 (April 2026 to March 2027). The stories in the pages to come highlight how we’re making progress on some of these key data points.
176 Registered nurses hired Annual target: 376
81 Physicians hired
5.6% Voluntary turnover rate Annual target: 7.2%
1 Family Health Team Annual target: 10
93.8% Surgeries completed within 1 year Target: 93%
309 days Wait time for non-urgent MRIs Target: 60 days
200 minutes Emergency department wait time for urgent (CTAS 3) patients Target: 30 minutes
710 Medically discharged patients awaiting long-term care Target: 330
*as of May 2026
Learn more about our Strategic Plan and view our progress on the Strategic Performance Dashboard at HorizonNB.ca/StrategicPlan.
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PROGRESS ON OUR STRATEGIC PLAN
Seeing primary care improvements in action
Horizon has launched a new online Progress Tracker to keep New Brunswickers informed about improvements in primary care. The dedicated webpage offers a clear, centralized view of key milestones, investments, and the expansion of Family Health Teams in communities across the province. Designed to be accessible and easy to navigate, it brings together updates in one place to help the public better understand how access to primary care is improving. The Progress Tracker reflects Horizon’s commitment to transparency and accountability, providing regular, measurable updates on ongoing transformation efforts. By sharing progress openly, Horizon aims to ensure patients, staff, and stakeholders stay informed as primary care continues to evolve.
Check out the Progress Tracker here .
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PROGRESS ON OUR STRATEGIC PLAN
Managing occupancy at Horizon hospitals
Horizon is caring for more patients who no longer require hospital-level care but are awaiting long-term care within the community. In May, medically discharged patients occupied an average of 40 per cent of acute care beds daily, peaking at 41 per cent twice this quarter. Nearly half of these patients could move to long-term care today if a bed were available. Hospitals are not designed for long-term living, and longer than necessary stays can affect patients’ wellbeing. At the same time, fewer available beds impact patient flow and wait times system-wide, from emergency departments to operating rooms to inpatient units. Horizon is advancing several initiatives to reduce avoidable admissions, shorten hospital stays, and improve patient flow, including: • Establishing emergency department diversion teams, which have helped 460+ medically stable patients return home safely, saving over 8,000 patient days • Completing long-term care assessments for medically discharged patients in 5 hospitals to reduce delays and free up acute care capacity • Launching a discharge-to-assess pilot, supporting 20 patients at home while awaiting long-term care assessment These efforts aim to ensure patients receive the right care, in the right place, while improving access to hospital services for everyone.
Report to Our Communities 6
PROGRESS ON OUR STRATEGIC PLAN
Innovation in action across Horizon
Horizon continues to leverage innovation to help make care more accessible, efficient, and patient-friendly, with several key projects already making a difference. The Miramichi Regional Hospital launched a first-in-New Brunswick pilot to eliminate paper usage in its Medical Imaging department. The pilot has since expanded to Charlotte County, Sussex, and Saint John, with over 200,000 requisitions processed to date. Planning is underway for additional sites and programs. Meanwhile, Voice AI is helping patients book appointments anytime by phone, handling more than 35,000 bookings each month and reducing wait times. New tools are also supporting care teams. AI Scribe is reducing time spent on documentation, allowing providers to spend more time with patients. 3D printing partnerships are also enabling staff to develop practical solutions to everyday challenges. Horizon’s SeamlessMD digital care platform continues to stand out, improving patient experience and outcomes while reducing hospital visits and overall costs. At the same time, multiple AI initiatives are underway, alongside new partnerships aimed at further enhancing care and services for patients.
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PROGRESS ON OUR STRATEGIC PLAN
Horizon joins Princess Margaret Cancer Care Network
Horizon has become the ninth organization — and the first in the Maritimes — to join the Princess Margaret Cancer Care Network, one of the world’s leading cancer centres.
The partnership brings together local, regional, and national partners to enhance collaborative clinical care, accelerate research and innovation, and strengthen cancer education.
Cancer patients will benefit from better access to clinical trials, improved care pathways, and resources for every stage of their cancer journey.
Our clinicians, nurses, researchers, and allied health professionals will gain access to world-class education and collaboration with leading experts across Canada.
Horizon’s cancer care program delivers services across multiple sites, including the Saint John Regional Hospital, The Moncton Hospital, Dr. Everett Chalmers Regional Hospital in Fredericton, Miramichi Regional Hospital, and regional and satellite locations in Upper River Valley, Perth-Andover, Charlotte County, and Sussex.
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21 Physicians hired
34 Registered nurses hired
9 Patient care attendants hired
12 Allied health professionals hired
*as of May 31, 2026
MONCTON AND SOUTHEASTERN NEW BRUNSWICK
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MONCTON AND SOUTHEASTERN NEW BRUNSWICK
One year inside Moncton’s new Obstetrics and Newborn Care Unit
Just over one year ago, a new care space opened at Horizon’s The Moncton Hospital, building on services families in the region have relied on for decades.
The Jean Elizabeth Saunders Irving Obstetrics and Newborn Care Unit brings obstetrical and newborn services together under one roof. Officially opened on May 14, 2025, the nearly 30,000-square-foot space helps families stay connected and supported throughout their journey.
“From pregnancy through postpartum, everything happens here, and that makes a huge difference,” said Donna, a registered nurse in labour and birth.
With more than 1,300 babies welcomed so far, staff say the new space is making a meaningful difference for families and improving the working environment for care teams.
Tantramar marks 1 year of growth
The Family Health Team at Tantramar Primary Health Care Centre is marking one year of progress in strengthening access to care in the area. Now serving more than 2,200 patients, the team has prioritized the timely onboarding of patients and continues to accept new patients through the provincial registry. Since its announcement in April 2025, work has been done to identify a larger clinic space to support the team’s projected growth and patient attachment targets. Renovations are currently underway on a roughly 10,000-square-foot space on the ground floor of The York Building at 24 York St. The new clinic is expected to be ready in 2027, with the current location continuing operations throughout the transition.
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MONCTON AND SOUTHEASTERN NEW BRUNSWICK
Growing a healthier future in Fundy Albert
Inspired by a similar initiative at Port Elgin Regional School, an innovative community greenhouse project is coming to life in Fundy Albert. The collaborative project brings together Horizon, the Anglophone East School District, Foods of the Fundy Valley, and several local businesses and donors. Located at Caledonia Regional High School, the geothermal greenhouse will play a vital role in addressing food insecurity in the community by providing fresh, locally grown vegetables to food banks in the area.
It will also support student learning by being integrated into the curriculum, including Indigenous land-based teachings.
Students build mobility trainers for Stan Cassidy Centre for Rehabilitation
Students in southeastern New Brunswick have built two new MakeGood ED-printed mobility trainers for Horizon’s Stan Cassidy Centre for Rehabilitation (SCCR). The project began through a partnership between SCCR and Place aux compétences, a non-profit supporting hands-on learning for Francophone students. While SCCR had previously built a mobility trainer to help young children gain independence while waiting for a wheelchair, the process was too time-intensive to sustain. Production was shared across five Francophone South School District schools, giving students a chance to apply classroom learning to real-world challenges.
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MONCTON AND SOUTHEASTERN NEW BRUNSWICK
From trees to gardens: Horizon supports community food initiatives Two projects in southeastern New Brunswick are benefiting from Horizon’s Community Health Grants.
In Fort Folly First Nation (Amlamgog), a $2,500 grant will support the “Fruit Trees for a Fruitful Life” project, planting trees to improve access to fresh fruit while promoting physical activity and land-based learning for seniors, adults, and youth.
The Cocagne Sustainable Development Group will use a $2,500 grant for a food security project, which aims to grow and store about 5,000 pounds of fresh, pesticide-free vegetables at the Cocagne Community Garden for distribution to the Shediac Food Bank and a local senior meal program.
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30 Physicians hired
25 Patient care attendants hired 74 Registered nurses hired, including 1 nurse practitioner
21 Allied health professionals hired
*as of May 31, 2026
SAINT JOHN AND SOUTHERN NEW BRUNSWICK
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SAINT JOHN AND SOUTHERN NEW BRUNSWICK
Saint Andrews Wellness Centre expansion enhances access to care
Recently completed renovations at the Saint Andrews Wellness Centre created space for more health professionals and expanded services in the region.
The project included $1.7 million in provincial funding to support the expansion and recruitment of additional health care providers.
The impact is already evident with a blood and specimen collection clinic opening at the centre in May – the first time this service has been offered in Saint Andrews. Three new physicians will join the team in September, helping attach more patients to primary care and maintain access to care close to home.
Community Health Needs Assessment underway in Fundy and Kings region
The centre serves about 3,000 patients and continues accepting new patients through the provincial registry.
If you live in the Fundy and Kings region and surrounding communities, we want to hear from you.
Horizon is undertaking a Community Health Needs Assessment to better understand the factors affecting your health and wellbeing. This process will help us identify local strengths and needs and enable community-wide establishment of health and wellness priorities that improve the health status of residents. The assessment includes Sussex, Hampton, Norton, Valley Waters, Quispamsis, Rothesay, Fundy-St. Martins, and all rural areas in between.
Share your thoughts and learn more by visiting Let’s Talk Horizon.
Report to Our Communities 14
SAINT JOHN AND SOUTHERN NEW BRUNSWICK
Building connections to strengthen services on Grand Manan Service providers on Grand Manan are strengthening collaboration and improving access to services. Community Development team members partnered with several organizations to host a service provider expo. Key partners included the Southwest New Brunswick Service Commission, Community Capacity and Resiliency, The Willow Centre, Charlotte County Seniors Resource Centre, and READ NB. More than 50 service providers from over 30 organizations shared insights, discussed barriers, and explored ways to better serve the community.
Plans are underway for a public expo and a resource guide at the Grand Manan Library.
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SAINT JOHN AND SOUTHERN NEW BRUNSWICK
Horizon funding supports recovery, inclusion, and community connection
Three projects in southern New Brunswick are receiving support through Horizon’s Community Health Grants.
The Charlotte County Activity Centre in St. Stephen will get $2,500 for “Heart Beats,” a drum-making program for adults accessing addiction and mental health services. The initiative will promote healing through creative expression, rhythm, and social connection, with materials sourced from St. Mary’s First Nation. The Anglican Parish of St. George and The HUB Eastern Charlotte is set to receive $2,500 for “SOS (Soles for Support),” a weekly walking program for individuals in recovery. Funding will provide quality sneakers to participants in need. In Saint John, Chroma: Pride, Inclusion, Equality Inc. has been given $2,500 for its gender-affirming support project. The program will include peer navigation and access to ID changes and gender-affirming garments, helping Two-Spirit, transgender, and gender-diverse people move through the world with confidence and dignity.
Supporting Francophone newcomers in understanding health care
Francophone newcomers in the Saint John area are gaining confidence as they learn how to access care and services. Guided hospital tours of Horizon’s Saint John Regional Hospital are now offered through a partnership between Community Development team members and CAFi, a support centre for Francophone newcomers.
Staff lead participants through key areas, answer questions, and help them feel more at ease.
These tours aim to reduce anxiety, build trust, and help ensure families can access care in a familiar language.
Report to Our Communities 16
12 Physicians hired
42 Registered nurses hired, including 2 nurse practitioners
25 Patient care attendants hired
16 Allied health professionals hired
*as of May 31, 2026
FREDERICTON AND CENTRAL NEW BRUNSWICK
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FREDERICTON AND CENTRAL NEW BRUNSWICK
Fredericton North Family Health Team marks 1 year of growth
The Fredericton North Family Health Team has continued to expand access to primary care since being announced as Horizon’s first collaborative care team in April 2025. Now serving about 8,300 patients, the team was originally established in 2021 as the Fredericton Northside Community Health Centre. It received provincial funding in early 2025 to support new infrastructure. This expansion enabled a larger care team, including four primary care providers and 17 additional full-time health care and support staff. The team moved into its new location in early December 2025. It has since attached nearly 1,200 new patients and prevented 800 others from losing access to primary care.
Strengthening access to primary care in Nackawic-Millville
The Nackawic Health Centre has reached a significant milestone just months after Horizon received $1.7 million in provincial funding to expand the centre’s facilities and staff. Announced in late February, the collaborative care team has attached over 900 patients in the Nackawic-Millville community, including previously unattached residents and some already rostered with a new physician. The care team will ensure every unattached resident in the community has access to a primary care provider. Several new health professionals have joined the team, including a physician and two nurse practitioners. One nurse practitioner is currently onboarding patients, while the second will join in July. Renovations are underway on a secondary clinical space within the existing facility and are expected to be completed by fall.
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FREDERICTON AND CENTRAL NEW BRUNSWICK
Improving access to services in Fredericton
Horizon has taken steps to address overcrowding at the Dr. Everett Chalmers Regional Hospital (DECRH) in Fredericton and improve access to services.
Several outpatient services, including electrodiagnostic services and Pulmonary Function Testing, are now delivered at community sites, bringing care closer to patients. In addition, a new blood and specimen collection clinic at Brookside Mall has improved access and reduced pressure on the hospital. At DECRH, the average wait time for these services has dropped from 46 to 16 days. Ambulatory care clinics previously located in the 4 West inpatient unit have been relocated, creating 13 additional acute care beds used to care for patients admitted through the Emergency Department while they wait for an inpatient bed.
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FREDERICTON AND CENTRAL NEW BRUNSWICK
Upper Miramichi community fair connects residents with free items
Horizon’s Community Health Grants is supporting a free community fair in the Upper Miramichi area.
The Upper Miramichi Lions Club has been awarded a $2,500 grant for the fair, which puts items into the hands of those who need them.
Items are collected through community donations, then sorted and displayed by volunteers for people to take.
More than 500 people attended the first free fair in November 2025, with between 50 and 75 households making donations.
Aging in Place Toolkit launched in Grand Lake
Preventing falls is key to helping seniors live safely and independently at home.
Remaining items were offered to other community organizations or stored for future free fairs.
In the Grand Lake region, Trauma NB partnered with Horizon, GNB Public Health, and a community working group to develop an Aging in Place toolkit. Tailored to local needs, the toolkit supports practitioners and community leaders in assisting older adults who are at risk of falls or recovering from one. With practical resources and strategies, this initiative aims to reduce falls and build safer, stronger communities for older adults.
Plans are underway to expand the project to more communities across the province.
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FREDERICTON AND CENTRAL NEW BRUNSWICK
Free meal program feeds community, connection in Minto
A new initiative in Minto is bringing community members together over a shared meal.
The free community meal program is a partnership between Horizon, the United Baptist Church of Minto, and the culinary class at Minto Memorial High School.
The initiative has been well received by the community since launching in January, with an average of 100 people attending the free community meal each month.
Community volunteers and high school students prepare the meals. The initiative allows students to give back while gaining valuable hands-on culinary skills and real-world teamwork experience.
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10 Physicians hired
12 Registered nurses hired, including 1 nurse practitioner
6 Patient care attendants hired
5 Allied health professionals hired
*as of May 31, 2026
UPPER RIVER VALLEY AND WESTERN NEW BRUNSWICK
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UPPER RIVER VALLEY AND WESTERN NEW BRUNSWICK
More patients connected to care in Perth-Andover area
The Perth-Andover Family Health Team in Southern Victoria has made significant progress in addressing the area’s primary care needs in just a few months. Since launching in November 2025, about 500 patients have been attached to the team, which now serves approximately 11,000 people. The team continues to onboard individuals from the provincial registry in Perth-Andover and surrounding communities and expects to roster all remaining patients within 12 to 18 months. Horizon received $1.6 million in provincial funding to support the team, which aims to strengthen long-term access to primary care, support physicians nearing retirement, and introduce new allied health services.
Carleton North Family Health Team marks 1 year
The Carleton North Family Health Team has been supporting patients for more than a year since its launch in May 2025.
With provincial funding, the former Carleton North Medical Clinic was transformed into a collaborative care team, including space upgrades and new health care professionals. This has allowed the team to connect 250 previously unattached patients with a primary care provider. Several new team members have since joined, including a respiratory therapist and a social worker, with recruitment ongoing for more primary care providers and allied health professionals. Once in place, the team can continue toward its goal of onboarding another 800 unattached patients by the end of 2026.
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UPPER RIVER VALLEY AND WESTERN NEW BRUNSWICK
Mental wellness program spreads across N.B. schools
A mental wellness program created in memory of a former NHL player has expanded to dozens of schools across New Brunswick, thanks to a partnership involving a Plaster Rock organization. Through that collaboration, World Pond Hockey Championship Inc. teamed up with Winnipeg- based True North Youth Foundation to bring Project 11 to the province. The initiative honours former NHLer Rick Rypien, who lost his life to depression in 2011. It equips teachers with age- and grade-specific resources, from kindergarten through Grade 12. The first group of teachers in New Brunswick was trained in Plaster Rock several years ago. Since then, hundreds of educators from across the province have completed the training.
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UPPER RIVER VALLEY AND WESTERN NEW BRUNSWICK
Youth council helps shape local decisions in Woodstock Young people in Woodstock now have a new way to speak up on issues that matter to them. The town has launched a municipal youth council with support from Planet Youth Woodstock, co-led by representatives from Horizon Public Health and Population Health.
The initiative was created with and led by local youth, placing their voices at the forefront.
These young leaders work alongside the town council and community partners to help ensure youth voices are reflected in local decisions.
The council is part of a broader effort to support youth wellbeing and engagement in the community.
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8 Physicians hired
14 Registered nurses hired
19 Patient care attendants hired
5 Allied health professionals hired
*as of May 31, 2026
MIRAMICHI AND NORTHEASTERN NEW BRUNSWICK
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MIRAMICHI AND NORTHEASTERN NEW BRUNSWICK
Strong first-year growth at Nordin Family Health Team
The Nordin Family Health Team has made strong progress in expanding access to primary care during its first year.
Since receiving provincial funding in June 2025, the team has been growing to attach an additional 1,000 patients over two years. Approximately 2,400 patients from two retiring physicians have since been onboarded, and the team is well on its way to meeting its patient attachment goals. The team has continued to grow, welcoming a physician, two nurse practitioners, a licensed practical nurse, two registered nurses, an office manager, and an access coordinator. Mental health services have also been added, with a licensed counselling therapist-candidate and a social worker joining the team. Recruitment is ongoing for two additional nurse practitioners, a respiratory therapist, a physiotherapist, and a registered nurse.
‘Command centre’ improving patient flow at Horizon’s Miramichi Regional Hospital A new ‘command centre’ at Horizon’s Miramichi Regional Hospital is bringing teams together to improve how patients move through care. The space includes patient flow coordinators, discharge planners, care coordinators, social workers, an Indigenous Patient Navigator, nursing supervisors, and liaisons from the New Brunswick Extra-Mural Program. Working in one shared space, staff can track bed capacity, plan discharges in real time, and solve issues more quickly. Before the command centre, teams worked in different areas of the hospital, with decisions often made through emails, phone calls, and meetings.
Early results show better teamwork, quicker decisions, and a smoother journey for patients.
The command centre builds on successful models at Horizon’s Dr. Everett Chalmers Regional Hospital in Fredericton and The Moncton Hospital.
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MIRAMICHI AND NORTHEASTERN NEW BRUNSWICK
10 years of strengthening food security in Northumberland County Access to healthy, affordable food is essential to community wellbeing.
Now in its 10th year, Fresh for Less is helping make that access a reality for hundreds of families each month in the Northumberland County region.
The bulk-buying initiative distributes more than 800 bags of fresh produce monthly at a fraction of retail cost, making nutritious food more affordable and accessible.
The program is a project of Roots to Table, a food security collective supported by Horizon and the Greater Miramichi Regional Service Commission.
By reducing barriers to healthy eating, Fresh for Less remains a trusted resource in the community and plays an important role in strengthening food security across the region.
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MIRAMICHI AND NORTHEASTERN NEW BRUNSWICK
Strengthening access to care in the Miramichi region
A coordinated effort among community partners is enhancing access to care in the Miramichi region.
Horizon, in collaboration with Miramichi Housing Solution and AIDS NB, has established wrap-around clinics to support people facing housing challenges.
These clinics bring together mental health support, public health services, and primary care in one convenient, community-based setting. The model is designed to be accessible, inclusive, and grounded in respect, helping to reduce barriers to care and improve overall access.
By offering services in a supportive and dignified environment, the initiative ensures individuals receive comprehensive, person-centred care.
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Horizon’s Community Health Grants continue to support innovative, community-driven projects that improve health and wellbeing across New Brunswick
Formerly the Community Innovation Grants program, this initiative helps organizations deliver solutions that address local needs, reduce barriers to care, and strengthen connections.
Grants of up to $2,500 are available for projects focused on prevention, mental health, social inclusion, and healthier living. Applications are accepted on a rolling basis and reviewed throughout the year.
Applications must be sponsored by a Horizon employee within the Community portfolio. Organizations can connect with their nearest Community Developer for support.
These projects empower local organizations to respond to emerging challenges, foster collaboration, and create sustainable, long-term impact. By partnering with communities, Horizon is helping build a stronger, healthier future for New Brunswickers.
Ready to make an impact? Learn more and apply at HorizonNB.ca.
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