We are pleased to report that after extensive consultation with clinical and administrative leaders, the Clinical Restructuring Team has completed the development of the timeline for the Milestone I clinical program moves. The team presented the plan to a meeting of clinical and administrative leadership this morning, where the plan was endorsed.

Milestone I will commence on February 15, 2005 and will be completed by the end of September 2005 in the following major phases:

February 15, 2005:
Transfer ER services from SJHC
Expand ER capability LHSC-UC and SSC
SJHC Urgent Care commences operation February 16, 2005

March 2005:
Open Cardiovascular Surgery Recovery Unit within ICU at LHSC-UC

April 5, 2005:
Transfer a component of Cardiac Surgery & Cardiology from SSC to UC including:
Transfer of 31 inpatient beds and 5 Cardiac ICU beds
Transfer of 1 Catheterization Lab
Transfer of 2 Cardiovascular Surgery operative rooms

April 11, 2005:
Transfer 5 ICU beds from SJHC to LHSC-VC

April 25, 2005:
Transfer of 5 remaining ICU beds from SJHC to LHSC-UC
Transfer 27 General Surgery and 2 Urology beds from SJHC. Open 22 beds at LHSC-UC
Transfer OR time associated with General Surgery & Urology from SJHC to LHSC-UC
Open Step-up Unit at SJHC in PACU

At this time, it's important to note that the May to September timeline is subject to construction tender approval by the Ministry of Health and Long-Term Care, and the finalization of contractor construction schedules.

By May 31, 2005:
Move 180 Critical Care, Surgery, Medicine, and Cardiac beds, as well as ER & Perioperative Care from SSC to VC
Transfer 4 General Surgery and 8 (7 to open) Orthopaedic beds from SJHC to LHSC-VC
Cardiology clinic transfer from SSC to UC

September 2005
Transfer 16 SJHC Medicine beds to LHSC-VC
Transfer 21 beds (15 to open initially) from SJHC Family Medicine to LHSC-UC
Move SSC Surgical offices and clinics to Westminster Tower, LHSC-VC

In the coming weeks, we'll be communicating detailed sequencing information to program transfer leadership, physicians and staff. We are highly committed to the success of this massive and extremely complex planning process as the restructuring of the London hospitals continues. Thank you for your ongoing support.

For more detailed information, please speak with your leader or visit http://intra.sjhc.london.on.ca/refer/restruct/assets/documents/timelinechartnov2004.pdf

Neil Johnson
VP, Medicine Clinical Business Unit, LHSC

Sandra Letton
VP, Acute/Ambulatory Care, SJHC

Bernadette MacDonald
VP, Surgery Clinical Business Unit, LHSC