1. December 2, 2004Clinical Restructuring Plan Clinical Restructuring Plan December 2, 2004

2. December 2, 2004Clinical Restructuring Plan Overview Provide update on 2005 Restructuring Plans Current activity Practical learnings Identify next steps

3. December 2, 2004Clinical Restructuring Plan What’s New Tender Packages Awarded UC2 – closed, within budget and timelines VC2 – closed, within budget and timeline Some items from UC2/VC2 still to go to tender In-Patient Mental Health Space

4. December 2, 2004Clinical Restructuring Plan

5. December 2, 2004Clinical Restructuring Plan The redeveloped St. Joseph's Hospital … a city-wide centre for ambulatory care & day surgery centre, including: Urgent Care Centre Diabetes Program HIV Program Ivey Eye Institute Hand and Upper Limb Centre Rheumatology Centre Diagnostic Imaging Centre Family Birthing Centre G.A. Huot Surgical Centre Today: 228 beds April 05: 189 beds May 05: 177 beds Sept 05: 140 beds

6. December 2, 2004Clinical Restructuring Plan University Campus 2005 Expanded Emergency Dept Expanded operating rooms & Intensive Care Unit Today: 290 beds April 05: 359 beds Sept 05: 374 beds (380)

7. December 2, 2004Clinical Restructuring Plan Victoria Campus at M1 The redeveloped Victoria Campus will include: New Adult Emergency Department Critical Care Consolidated Clinical Care Programs Today: 228 beds May 05: 424 beds Sept 05: 440 beds

8. December 2, 2004Clinical Restructuring Plan South Street M1 to M2 Today: 283 beds May 05: 68 beds Mental Health Dialysis Clinics / Offices WMCH, HSB, NR, Daycare over 600 staff daily

9. December 2, 2004Clinical Restructuring Plan London Hospitals Shifting Culture Supporting Staff

10. December 2, 2004Clinical Restructuring Plan Getting to Milestone 1 Human Resources ER HR process completed - 68% staff transferring HR Processes Underway General Surgery, Urology, Orthopaedics Critical Care Perioperative Programs Clinical Support Departments November & December Over 2,000 staff letters 328 SJHC staff to LHSC 100 LHSC-VC staff to LHSC-UC

11. December 2, 2004Clinical Restructuring Plan Getting to Milestone 1 Past ‘lessons learned’ Provide sufficient and appropriate support during transitional chaos Management capability to support change Develop in advance, new ‘best practices’ Accelerate recruitment plans Address retention issues (workload, shortages, etc.) Recent ‘lessons learned’ Union staff transferring to a non-union site Plan for training and orientation Develop Unit Councils

12. December 2, 2004Clinical Restructuring Plan 2005 Time Line Feb Mar April May June … Sept UC CV ICU SJHC ER SSC Cardiac SJHC ICU Surgery SJHC Surgery Ortho/Trauma SSC ICU Medicine Surgery Cardiac ER SJHC Medicine Family Medicine

13. December 2, 2004Clinical Restructuring Plan Consider … How will the 2005 restructuring of London Hospitals affect your staff? Directly Indirectly

14. December 2, 2004Clinical Restructuring Plan Next Steps: December/January Formulate detailed sequencing plans Communication Plans Communicate with staff and physicians – Vision for London Hospitals Begin external media communication Invite external stakeholders to information sessions Hospital-wide staff meetings hosted by senior leadership Storyboards