In November I spoke at a meeting of the Ontario Society of Physicians in HIV Care and discussed the implications of the LHINs for their work (download the speaking notes here). While HIV will remain a provincial strategy and community-based programmes will be funded centrally, and while primary care is beyond the formal mandate of the LHINs, the specialized HIV clinics in hospitals and many other settings in which treatment takes place will be within the LHINs’ sphere. More generally, the LHINs are a key part of the overall transformation of the Ontario health system that all stakeholders need to be part of. My main point was that the HIV doctors have unique experience in multi-disciplinary teams, alternative forms of practice, patient-centred care, and working with patients with very complex conditions and multiple challenges beyond the purely medical. This meant that HIV physicians were in a very good position to offer insights to policy makers and LHIN planners as they were grappling with such problems.