This project was a response to a major newspaper study identified the health disparities in access and outcomes within a circumscribed small area of North Hamilton, Ontario, Canada including significantly shortened life expectancy. In one of the most deprived neighbourhoods in Hamilton, where over 20% of the population had no access to primary care the Hamilton Family Health Team worked with a local community centre to develop and implement a new primary care clinic with a range of programs all of which integrated mental health and primary care from the outset. This presentation describes all the steps in the creation of the new clinic and the programs that have been developed.