There is concern the Acute Psychiatry and Chronic Psychiatry be under two different structures and that resources that will be removed from the Psych. Hospitals be immediately reinvested in the community. The Joint Committee is enabled by the Report to be an implementation body and is composed of the Executive Committees of the Boards of the Hospitals and representatives from the University of Western Ontario. The Super Board would also facilitate and incorporate dialogue and flexibility in all aspects of it's work. There is no allowance for disease specific utilization rates.
Targets are unrealistic.
Lawson Research Institute David Hill reported that the HSRC recommendations do not represent a great change in the LRI's operation. The only real change to the operating plan of the combined one-site model is that instead of being under the administration of SJHC, it will now be under the LHSC enterprise. Psychiatric Hospitals Emanuel Persad noted that it has been felt for some time there was a need for change in the Mental Health Sector in London. One of the major concerns of the HSRC Report is the practicality of the acute and chronic care split. There are also concerns around the practical issues of decentralization and how that will affect patients and their families.