ST. JOHN'S, N.L. -- It will take time to change Newfoundland and Labrador's health-care system as the government grapples with one of the largest costs in its budget, Premier Paul Davis said Wednesday.

The province spends more per person on health care than elsewhere in the country and Davis promised when he was running for the leadership of the Progressive Conservatives last year to consult on how to improve the system.

"We've listened and we've heard the concerns across the province," Davis said at the opening of a summit on health care with 300 specialists and residents.

"It's time now to identify clear actions."

Health services take up 40 per cent of the provincial budget.

Davis said he wants to combine expert advice with input gathered from residents to make changes that will take time.

A full day is scheduled for small group discussions that include participants ranging from top medical experts to patients.

Health Minister Steve Kent said a list of top issues was drawn from 13 public meetings held last year across the province. They include high turnover of staff, especially in rural areas, long wait times for procedures, a lack of family physicians and a shortage of mental health supports.

Kent said the goal is to create a new primary health-care framework focused on community care that promotes healthy living and disease prevention.

"Ultimately we want to get the best value and the best health outcomes for the money we spend," he told the meeting.

The oil-dependent province is forecasting a $916-million deficit this year as the price of Brent crude has plunged since June.