High Complexity Care Team (HCCT)


Direct Line to Team: 250-940-5692

  • Physician Lead: Dr. Spencer Cleave
  • Psychiatrist: Dr. Amanda Pitcher
  • Physicians: Dr. Diana Hammond, Dr. Glen Manders
  • Nurse Practitioners: Lindsey Strang NP, Devon McDermitt NP
  • Social Worker: Lynn Simonson
  • MOAs: Colleen and Kendra


Team-Based Patient Medical Home

The HCCT is a multi-disciplinary primary care team dedicated to serving patients with complex health needs in the Esquimalt, Westshore and Sooke areas. We are pleased to partner with Island Health, the Ministry of Health and the South Island Division of Family Practice as part of the Westshore Primary Care Network. We accept patients of all ages who meet our referral crietria. Health care professionals and clinic or hospital administrators may refer new patients using the form below. We also accept consultations from other family physicians.

Team Leaders



  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 son and maintaining a career as a professional musician in Victoria.   



 Dr. Amanda Pitcher was born and raised in Ontario, Canada. She attended the University of Western Ontario where she obtained a bachelor’s degree in psychology. Next, she spent a year working in Montreal at the Douglas Hospital in a psychiatry research lab before entering medical school at Queen’s University in Kingston, ON. She graduated in 2008 and then completed a residency program in psychiatry at the University of Toronto. Dr. Pitcher enjoys travel and has done locum work in New Zealand. She has been living and working in Victoria since 2014, first as a consultant Psychiatrist at VGH and later at the outpatient CARES clinic. Dr. Pitcher’s outside of work interests include music and the outdoors, often enjoyed with her husband and daughter. Her practice with the High Complexity Care team is currently full.