Fact Sheet
Summary of Health Services Restructuring Recommendations for the GTA/905


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Table of Contents

Overview

CURRENT
POST RESTRUCTURING*
Overall Summary

18 hospital organizations on 19 sites^

13 hospital organizations on 18 sites^
3,865 inpatient beds 4562 inpatient beds including 615 acute care beds identified for population growth and aging and 304 sub-acute care beds (to be sited)
Acute Care Facilities
15 hospital organizations on 16 sites
2,509 acute inpatient beds
249 acute adult & 16 child/adolescent mental health beds
123 inpatient rehabilitation beds
643 chronic care beds
10 hospital organizations on 15 sites
2434 acute inpatient beds** including 615 acute care beds identified for population growth and aging
304 sub-acute beds (to be sited)
432 acute adult & 37 child/adolescent mental health beds
385 inpatient rehabilitation beds
714 complex continuing care beds
Mental Health Services

1 organization on 1 sites
325 long term mental health beds including 40 medium secure beds & 15 child/adolescent beds

1 organization on 1 site
256 long term mental health beds including 40 medium secure beds & 9 child/adolescent beds
^ includes two private hospitals; The Shouldice Hospital and the Vaughan Cosmetic Surgery Institute
* reflects health care services remaining in the GTA/905 and does not include 3 sites in Metro - Etobicoke General site, Centenary site, Queensway site.
** includes acute beds transferred from the Queensway site to the Mississauga Hospital site

HOSPITAL
Status of Physical Facility
STATUS OF CORPORATE ENTITY
Halton
Joseph Brant Memorial Hospital Retain No change
Milton District Hospital Retain Amalgamate with Oakville-Trafalgar Memorial Hospital
Oakville-Trafalgar Memorial Hospital Retain Amalgamate with Milton District Hospital
Georgetown & District Memorial Hospital Retain Amalgamate with Peel Memorial and Etobicoke General Hospitals
Peel
Peel Memorial Hospital Retain Amalgamate with Georgetown and District Memorial and Etobicoke General Hospitals
The Credit Valley Hospital Retain No change
The Mississauga Hospital Retain Amalgamate with Queensway General Hospital as outlined in Metro Toronto Healt Services Restructuring Report, July 1997
York
Markham Stouffville Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals
York Central Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals
York County Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals
Durham
Ajax and Pickering General Hospital Retain Amalgamate with Centenary Health Centre
Whitby General Hospital Close Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Oshawa General Hospital
(programs to be transferred to the East Durham Hospital Corporation and to the Ajax and Pickering site of Ajax and Pickering/Centenary Hospital Corporation)
Oshawa General Hospital Retain Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Whitby General Hospital
Memorial Hospital, Bowmanville Retain Amalgamate with North Durham Health Services Corp., Oshawa General Hospital, Whitby General Hospital
North Durham Health Sevices Corp,
  • Port Perry site
  • Uxbridge site
Retain Amalgamate with Oshawa General Hospital, Whitby General Hospital and Memorial Hospital - Bowmanville
Whitby Psychiatric Hospital Retain Establish new governance as public hospital
Metro Toronto
Etobicoke General Hospital Retain Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital
Centenary Health Centre Retain Amalgamate with Ajax and Pickering General Hospital

System Sizing for GTA/905 Facilities

 
ACUTE
2003
   
         
Mental Health^
       

CORPORATION/SITE

Acute Bed Target

Out of Province

Total Acute Beds**
Estimated Growth Beds

Adult Acute Beds
Child & Adolescent Beds

Rehabilitation Beds
Complex Continuing Care Beds

TOTAL BEDS (5)

NORTH WEST GTA HOSPITAL CORPORATION

     

75

104

10

60

133

 

Brampton Site

(1)

208

2

210

 

64

10

50

96

430

Georgetown site

30

0

30

 

0

0

0

37

67

Etobicoke site

148

3

151

 

40

0

10

0

201

                   

EAST HALTON HOSPITAL CORP.

     

52

43

0

35

73

 

Oakville site

118

1

119

 

43

0

35

43

240

Milton site

32

0

32

 

0

0

0

30

62

                   

JOSEPH BRANT MEMORIAL

133

1

134

44

34

0

35

46

249

                   

CREDIT VALLEY

167

1

168

55

44

11

50

57

330

                   

THE MISSISSAUGA/QUEENSWAY HOSPITAL CORP.

                 

Mississauga site

(2)

295

2

297

81

62

0

56

206

621

                   

MARKHAM STOUFFVILLE

78

0

78

29

36

0

25

48

187

YORK CENTRAL (3)

146

1

147

50

20

0

25

47

239

YORK COUNTY

153

0

153

61

28

6

25

47

259

                   

EAST DURHAM HOSPITAL CORP.

     

136

63

10

65

148

 

Oshawa site

258

1

259

 

63

10

65

102

499

Bowmanville site

45

0

45

 

0

0

0

30

75

Port Perry site

(4)

36

0

36

 

0

0

0

8

44

Uxbridge site

(4)

22

0

22

 

0

0

0

8

30

                   

AJAX and PICKERING / CENTENARY HOSPITAL CORP.

32

 

78

6

47

110

 

Pickering site

88

1

89

 

38

0

25

29

181

Scarborough site

209

0

209

 

40

6

22

81

358

ACUTE CARE SUBTOTAL

2,166

13

2,179

615

512

43

423

915

4,072

Acute Bed Target excludes mental health.
* Target beds at weighted occupancy assessed at lower of the benchmark wt'd occupancy or 90%
** Includes out of province beds.
(1) includes 6 beds from Etobicoke General Hospital
(2) includes 55 beds from Queensway General Hospital
(3) includes 26 beds from North York Branson Hospital
(4) no clinical efficiencies have been applied to the Port Perry and Uxbridge sites pending review of the Rural and Northern Health Care Framework.
(5) excludes Estimated Growth Beds

Mental Health

Sizing of Adult Acute Mental Health Beds for 2000 and 2003 in the GTA/905

Acute Mental Health 1995/96 capacity Estimated to 2000 Estimated to 2003
Halton

42

71

77

Peel

101

154

170*

York

52

77

84

Durham

54

91

101

Total

249

393

432

* Includes 5 beds transferred from Queensway General Hospital to Mississauga Hospital.

Current and Proposed Child/Adolescent Beds in Hospitals in GTA/905

REGION
HOSPITAL
Mar-96
2003

HALTON

Oakville Trafalgar Memorial Hospital

10

0

PEEL

Credit Valley Hospital

0

11

Peel Memorial Hospital

6

10

DURHAM

Oshawa General Hospital  

10

Whitby Mental Health Centre

13+
2 funded by MCSS

7+
2 funded by MCSS

YORK

York County Hospital

0

6

  Total 31 44

Longer Term Mental Health

Currently within the GTA/905, there is one longer term mental health facility; Whitby Mental Health Centre which serves residents of York, Durham, Victoria County and part of Scarborough. Residents of Halton receive longer term mental health services in Hamilton while the residents of Peel receive longer term mental health services in Metro. Beds within these facilities have not been specifically designated for the resident population of each GTA/905 region. The Health Services Restructuring Commission's planning guideline for longer term mental health would assess the needs of these regions as follows:

 
Halton
Peel
York
Durham
Total

Longer Term Mental Health beds

51
116
93
73
333

Siting of the longer term mental health beds is as follows: Halton residents will access services in Hamilton, Peel residents will access services in Metro (Queen Street Mental Health Centre) and York and Durham residents will access services at the Whitby Mental Health Centre.

Rehabilitation

Current and Proposed Rehabilitation Beds in the GTA/905

Facility Distribution of Rehabilitation Beds in Acute Hospitals* Proposed Distribution of Local Rehabilitation Beds by 2003
Joseph Brant Memorial Hospital 20 35

East Halton Hospital Corp

-Oakville site
-
35

North West GTA Hospital Corp

-Brampton site
-
50

Mississauga Queensway Hospital Corp

-Mississauga site
-
50

Credit Valley Hospital

40 50

Markham Stouffville Hospital

- 25

York Central Hospital

- 25

York County Hospital

24 25

East Durham Hospital Corp

-Oshawa site
39
65

Ajax and Pickering/ Centenary Hospital Corp

-Ajax site
-
25

Total

123 385
* Ministry of Health, Inventory of Staffed Beds, March 1996

Current and Proposed Rehabilitation Beds in East Metro

Facility Distribution of Rehabilitation Beds in Acute Hospitals* Proposed Distribution of Local Rehabilitation Beds by 2003
Centenary Health Centre 27 22

Salvation Army Scarborough Grace Hospital

12 15

Scarborough General Hospital

37 26

Toronto East General Hospital

0 24

Providence Centre

39 0

Total

115 87
* Ministry

Long Term Care

Additional LTC Places Required in the GTA/905 by 2003

 
Durham
York
Peel
Halton
Total

Long-term care beds in nursing homes or homes for the aged

442

909

1,669

1,173

4,193

Places in supportive housing, long-term home care, attendant care and adult day care

1,724

1,809

922

635

5,090

Impact of Proposed Planning Guidelines on Distribution of Long-Term Care Services in GTA/905

  Current beds/ places 1996 Proposed beds/places to 2003 Change
#%
Complex continuing care

643

714

71

11% increase

Long-term care

6,397

10,590*

4,193

65.5% increase

Supportive housing/long-term home care, attendant care and adult day care

7,943

13,033

5,090

64.1% increase

* Includes awarded nursing home beds

Current and Proposed Complex Continuing Care Beds in Metro

Facility Current* Proposed 2003
Joseph Brant Memorial Hospital

38

46

East Halton Hospital Corporation^^

65

73

North West GTA Hospital Corporation^

83

133

Credit Valley Hospital

40

57

Mississauga Queensway Hospital Corporation - Mississauga site

86

86

Markham Stouffville Hospital

40

48

York County Hospital

20

47

York Central Hospital

65

47

East Durham Hospital Corporation**

174

148

Ajax and Pickering/Centenary Hospital Corporation
Ajax site

0

29

Whitby General Hospital

32

0

Total

643

714

* Ministry of Health, Inventory of Staffed Beds, March 1996
** includes beds at the Oshawa, Bowmanville, Uxbridge & Port Perry sites
^includes beds at the Brampton and Georgetown sites
^^includes beds at the Oakville and Milton sites

Reinvestment and Savings

Reinvestment in Services

Summary of Savings and Reinvestments ($'s in millions)

 
Halton
Peel
York
Durham
Total

CHANGES IN ACUTE CARE EXPENSES

         
Efficiencies

$ (20.6)

$ (23.6)

$ (15.4)

$ (19.6)

$ (79.2)

Program Reallocation*

$ -

$ 16.3

$ 8.3

$ 0.1

$ 24.7

Changes to Acute Care Expenses

$ (20.6)

$ (7.3)

$ (7.2)

$ (19.5)

$ (54.6)

REINVESTMENTS

         
Acute Mental Health

$ 1.7

$ 5.8

$ 2.6

$ 3.9

$ 14.0

Complex Continuing Care

$ 2.5

$ 7.4

$ 2.7

$ (0.8)

$ 11.8

Rehabilitation

$ 5.5

$ 12.9

$ 5.7

$ 5.7

$ 29.8

MRI

$ 1.0

$ 1.0

$ 1.0

$ 1.0

$ 4.0

Home Care

$ 2.8

$ 10.5

$ 6.1

$ 5.3

$ 24.7

Long Term Care

$ 21.8

$ 31.1

$ 16.9

$ 8.2

$ 78.0

SubAcute

$ 4.5

$ 7.6

$ 4.5

$ 5.3

$ 21.9

Total Reinvestments

$ 39.8

$ 76.3

$ 39.5

$ 28.6

$ 184.2

NET CHANGE IN EXPENSES

$ 19.2

$ 69.0

$ 32.3

$ 9.1

$ 129.6

* Program transfers from Metro Toronto to GTA/905 facilities

Capital Reinvestment

Capital reinvestments are outlined below ($'s in millions)

 
New Construction & Renovations
Ancillary Costs & Site Development
Furnishings & Equipment

Total

North West GTA Hospital Corp.
-Brampton site


11.3 m

3.1m

2.3m

16.7m
East Halton Corp.
-Oakville site

5.7

1.6

0.5

7.8
Joseph Brant Memorial Hospital 4.3 1.2 0.5 6.0
The Credit Valley Hospital 7.3 2.0 1.5 10.8
The Mississauga Queensway Hospital Corp.
-Mississauga site

15.1

4.2

2.7

22.0
York Central Hospital 12.3 3.7 3.7 19.7
York County Hospital 9.6 2.6 3.0 15.2
Markham Stouffville Hospital 4.0 1.2 0.6 5.8
East Durham Hospital Corp.
-Oshawa site

25.9

8.0

5.8

39.7
Total 95.5m 27.6m 20.6m 143.7m

Savings

Summary Table of Total Expenses and Savings

1995/96 NET EXPENSES*  

$799,137,834

 
Clinical efficiencies

($54,070,019)

   
Support service efficiencies

($18,763,672)

   
Administrative efficiencies

($7,612,015)

   
Site closure

($603,124)

   
Change in selected expenses

$1,804,002

   

TOTAL SAVINGS

 

($79,244,827)

-9.9%

Program transfers ^

 

$24,677,444

 

REVISED EXPENSES

 

$744,570,451

-6.8%
* Net expenses from OCDM
^ Program transfers reflect transfer of activity from Metro Toronto to hospitals in the GTA/905
- Expenses, efficiencies and savings do not include hospitals included in Metro Toronto (Etobicoke General, Queensway General, Centenary) or Whitby Psychiatric Hospital
- Additional funding for acute mental health beds have been excluded in the above table and will be considered as a reinvestment

Summary of Total Complex Continuing Care Costs and Savings

NET EXPENSES $52,067,780
Program Enhancements

$4,160,213

Resource Intensity Adjustment

$6,943,539

Site Closure Savings

($230,043)

Administrative Allocation

$1,073,414

Change in Selected Expenses

($85,553)

COST OF RECONFIGURED SYSTEM

$63,929,350
TOTAL REINVESTMENT $11,861,570 (22.8%)

Summary of Total Rehabilitation Costs and Savings

ADJUSTED NET EXPENSES $13,201,485
Program Enhancements

$23,357,664

Allied Health Expense Adjustment

$2,465,316

Administrative Allocation

$4,115,843

Selected Expenses

$707,425

COST OF RECONFIGURED SYSTEM

$43,140,307
TOTAL REINVESTMENT $29,938,822 (227%)

GTA/905 Health Services Restructuring

 
Current 1995/96
Post Restructuring 1

Hospitals

Acute: 15 organizations; 16 sites
Mental Health: 1 org; 1 site
Private: 1 organization; 1 site
Acute: 10 organizations; 15 sites
Mental Health: 1 org; 1 site
Private: 1 organization; 1 site

Total Inpatient Beds 2

3865

4562

Acute Care Beds

2509

2434 (including growth)

Sub-acute Care Beds (to be sited)

0

304

Acute Mental Health

249

432

Child/Adolescent Mental Health 3

31

44

Longer Term Mental Health

- -

Rehabilitation

123

385

Complex Continuing Care

643

714

LTC beds

6,397

10,590

LTC places

7,883

12,973

Acute Care Savings

 

$79 M

Capital Reinvestment

 

$144 M

Total Reinvestment

 
$185 M

Mental Health

 

$14 M

Complex Continuing Care

 

$12 M

Rehabilitation

 

$30 M

MRI

 

$4 M

Home Care

 

$25 M

Long Term Care

 

$78 M

Sub-acute Care

 

$22 M

1 Post Restructuring numbers only reflect sites remaining in the GTA and the associated activity.
2 Includes beds at Whitby Mental Health Centre; 325 in 1995/96 and 256 post-restructuring.
3 Total child/adolescent mental health beds include beds sited at Whitby Mental Health Centre (15 in 1995/96 and 7 post-restructuring) and beds in acute care facilities (16 in 1995/96 and 37 post-restructuring). In addition, Whitby Mental Health Centre has 2 beds funded by the Ministry of Community and Social Services for a total of 9 beds in 2003.

Halton Region Summary

HOSPITAL
Status of Physical Facility
STATUS OF CORPORATE ENTITY
Halton
Joseph Brant Memorial Hospital Retain No change
Milton District Hospital Retain Amalgamate with Oakville-Trafalgar Memorial Hospital
Oakville-Trafalgar Memorial Hospital Retain Amalgamate with Milton District Hospital
Georgetown & District Memorial Hospital Retain Amalgamate with Peel Memorial and Etobicoke General Hospitals
Metro Toronto
Etobicoke General Hospital Retain Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital

 
Current 1995/96
Post Restructuring

Hospitals

4 organizations; 4 sites

2 organizations; 4 sites 1

Total Inpatient Beds

762

787

Acute Care Beds

550

421 (including growth)

Sub-acute Care Beds (to be sited)

0

63

Acute Mental Health

42

77

Child/Adolescent Mental Health

10

0

Rehabilitation

20

70

Complex Continuing Care

140

156

LTC beds

856

2,029

LTC places

1768

2,403

Acute Care Savings

 

$20.6 M

Capital Reinvestment

 

$13.8 M

Total Reinvestment

 
$39.8 M

Mental Health

 

$1.7 M

Complex Continuing Care

 

$2.5 M

Rehabilitation

 

$5.5 M

MRI

 

$1.0 M

Home Care

 

$2.8 M

Long Term Care

 

$21.8 M

Sub-acute Care

 

$4.5 M

1 Georgetown & District Memorial Hospital is part of the North West GTA Hospital Corporation

Peel Region Summary

HOSPITAL
Status of Physical Facility
STATUS OF CORPORATE ENTITY
Peel
Peel Memorial Hospital Retain Amalgamate with Georgetown and District Memorial and Etobicoke General Hospitals
The Credit Valley Hospital Retain No change
The Mississauga Hospital Retain Amalgamate with Queensway General Hospital as outlined in Metro Toronto Healt Services Restructuring Report, July 1997
Metro Toronto
Etobicoke General Hospital Retain Amalgamate with Peel Memorial Hospital and Georgetown and District Memorial Hospital

 
Current 1995/96
Post Restructuring 1

Hospitals

3 organizations; 3 sites

3 organizations; 3 sites 2

Total Inpatient Beds

1208

1562

Acute Care Beds

889

876 (including growth)

Sub-acute Care Beds (to be sited)

0

106

Acute Mental Health

101

170

Child/Adolescent Mental Health

6

21

Rehabilitation

40

150

Complex Continuing Care

172

239

LTC beds

1,691

3,360

LTC places

2,850

3,772

Acute Care Savings

 

$23.6 M

Capital Reinvestment

 

$49.5 M

Total Reinvestment

 
$76.3 M

Mental Health

 

$5.8 M

Complex Continuing Care

 

$7.4 M

Rehabilitation

 

$12.9 M

MRI

 

$1.0 M

Home Care

 

$10.5 M

Long Term Care

 

$31.1 M

Sub-acute Care

 

$7.6 M

1 Post Restructuring numbers include acute, mental health and rehabilitation beds transferred from the Queensway General site to the Mississauga Hospital site.
2 Peel Memorial Hospital is part of the North West GTA Hospital Corporation.

York Region Summary

HOSPITAL
Status of Physical Facility
STATUS OF CORPORATE ENTITY

York

Markham Stouffville Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals
York Central Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals
York County Hospital Retain No change. Appoint the board's executive committee to the York Region Hospital Joint Committee of the three York Hospitals

 
Current 1995/96
Post Restructuring 1

Hospitals

Acute: 3 organizations; 3 sites
Private: 1 organization; 1 site
Acute: 3 organizations; 3 sites
Private: 1 organization; 1 site

Total Inpatient Beds

688

887

Acute Care Beds

487

518 (including growth)

Sub-acute Care Beds (to be sited)

0

62

Acute Mental Health

52

84

Child/Adolescent Mental Health

0

6

Rehabilitation

24

75

Complex Continuing Care

125

142

LTC beds

1,806

2,715

LTC places

1,468

3,277

Acute Care Savings

 

$15.4 M

Capital Reinvestment

 

$40.7 M

Total Reinvestment

 
$39.5 M

Mental Health

 

$2.6 M

Complex Continuing Care

 

$2.7 M

Rehabilitation

 

$5.7 M

MRI

 

$1.0 M

Home Care

 

$6.1 M

Long Term Care

 

$16.9 M

Sub-acute Care

 

$4.5 M

1 Includes beds transferred from North York Branson Hospital to York Central Hospital

Durham Region Summary

HOSPITAL
Status of Physical Facility
STATUS OF CORPORATE ENTITY

Durham

Ajax and Pickering General Hospital Retain Amalgamate with Centenary Health Centre
Whitby General Hospital Close Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Oshawa General Hospital
(programs to be transferred to the East Durham Hospital Corporation and to the Ajax and Pickering site of Ajax and Pickering/Centenary Hospital Corporation)
Oshawa General Hospital Retain Amalgamate with North Durham Health Services Corp., Memorial Hospital - Bowmanville, and Whitby General Hospital
Memorial Hospital, Bowmanville Retain Amalgamate with North Durham Health Services Corp., Oshawa General Hospital, Whitby General Hospital
North Durham Health Sevices Corp,
-Port Perry site
-Uxbridge site
Retain Amalgamate with Oshawa General Hospital, Whitby General Hospital and Memorial Hospital - Bowmanville
Whitby Psychiatric Hospital Retain Establish new governance as public hospital
Metro Toronto
Centenary Health Centre Retain Amalgamate with Ajax and Pickering General Hospital

 
Current 1995/96
Post Restructuring

Hospitals

Acute: 5 organizations; 6 sites
Mental Health: 1 org.; 1 site
2 organizations; 5 sites
Mental Health: 1 org.; 1 site

Total Inpatient Beds 1

1207

1326

Acute Care Beds

583

619 (including growth)

Sub-acute Care Beds (to be sited)

0

73

Acute Mental Health

54

101

Child/Adolescent Mental Health

15

17 2

Rehabilitation

39

90

Complex Continuing Care

206

177

LTC beds

2,044

2,486

LTC places

1,797

3,521

Acute Care Savings

 

$19.6 M

Capital Reinvestment

 

$39.7 M

Total Reinvestment

 
$28.6 M

Mental Health

 

$3.9 M

Complex Continuing Care

 

($0.8) M

Rehabilitation

 

$5.7 M

MRI

 

$1.0 M

Home Care

 

$5.3 M

Long Term Care

 

$8.2 M

Sub-acute Care

 

$5.3 M

1 Includes beds at Whitby Mental Health Centre; 325 in 1995/96 and 256 post-restructuring. The total beds for Whitby Mental Health Centre include child/adolescent mental health beds.
2 Total child/adolescent mental health beds include beds sited at Whitby Mental Health Centre (15 in 1995/96 and 7 post-restructuring) and beds in acute care facilities (0 in 1995/96 and 6 post-restructuring). In addition, Whitby Mental Health Centre has 2 beds funded by the Ministry of Community and Social Services for a total of 9 beds in 2003.

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