Changes are taking place in the health care system in Northwestern Ontario. The North West Local Health Integration is out with a new 10-year plan that will put more of an emphasis on local care. CEO Laura Kokocinski says they are introducing a three tiered system that will include so called local health hubs. Five new Integrated District Networks are being created to handle health care in Northwestern Ontario; the District of Thunder Bay, the City of Thunder Bay, the North, Kenora and Rainy River.