Residential Hospice

The aim of the Central East LHIN Residential Hospice Strategy is to expand options available to palliative patients in the Central East LHIN by increasing the number of operational residential hospice beds to 56 by 2019, by:
  • Pursuing development of beds across LHIN sub-regions;
  • Advancing collaborative multi-sector partnerships to make best use of public investment; and
  • Recognizing residential hospice as a key element to advancing Hospice as Hubs strategy.

Background

A residential hospice is a healthcare facility and registered charity that provides palliative care services by an inter-disciplinary team with palliative care expertise 24 hours a day, 7 days a week in a home-like setting for the individual and their significant others at no cost to the user. A residential hospice provides an option for adults and children with life-limiting illnesses to receive end-of-life services where death is imminent and a home death is not possible or preferred but hospital level care is not required.

There are expected to be 100,000 deaths annually in Ontario in 2016 and beyond. Approximately 10% of deaths are sudden or unexpected, most of which occur in hospital. Of the non-sudden deaths in Ontario, less than 5% of people are expected to experience an acute complication or have need for specialized tertiary services at the end of life that could only be delivered in an acute care setting.

Based on survey data, approximately 2/3 of Ontarians indicate they would prefer to die at home but approximately 65% of Ontarians die in hospital. 

In Central East LHIN, 73.4% of patients receiving palliative care services died in hospital (2014/15) which is the 2nd highest rate in the province.

The Central East LHIN has now approved a Central East LHIN Residential Hospice Strategy (July 2016) which assesses the current state of residential hospices in the Central East LHIN and lays out a model for future hospices that includes information on regional oversight, provincial residential hospice standards, metrics and funding along with barriers and risks. 

Residential Hospice Request for Expressions of Interest - posted November 23, 2016

The Central East LHIN is now requesting expressions of interest (EOI) from health service providers, organizations and/or individuals who are interested in working with local stakeholders and the LHIN in the development of a residential hospice by 2018/19 in the following LHIN sub-regions and identified target communities (see map):

 LHIN Sub-Region
Target Community for Residential Hospice
 Number of Beds
 Scarborough South
 Scarborough South
 10
 Durham North East
 Durham East
 5
 City of Kawartha Lakes and Haliburton County
 City of Kawartha Lakes
 3
 Northumberland County
 West Northumberland
 3

A residential hospice is a healthcare facility and registered charity that provides specialized hospice palliative care services in a homelike setting for the residents it serves and their families and caregivers. Services are provided by an interprofessional team with palliative care expertise 24 hours-a-day, 7 days a week at no cost to the user. The Central East LHIN is open to different models for residential hospice beds including a free-standing building or co-location in another healthcare setting (e.g., retirement home, other) depending on the needs of the community and available resources.

The purpose of the request for EOIs is two-fold:

  1. To identify health service providers, organizations and/or individuals who are interested in working with local stakeholders and the LHIN, and supporting the capital fundraising, planning and development of a residential hospice by 2018/19.
  2. To identify a Lead Residential Hospice Provider who will be responsible for leading the planning, including the capital campaign collaboratively with local partners.

While the LHIN has targeted specific communities/sub-regions in this request for EOI, this in no way inhibits ongoing discussions and partnerships with other interested proponents in other Central East LHIN communities. The LHIN continues to welcome collaboration outside of the request for EOI targeted communities. 


Health service providers, organizations and/or individuals interested in pursuing the development of a residential hospice should prepare responses based on the information requested in the EOI Backgrounder and submit it to the Central East LHIN in a word document by January 6, 2017. The Central East LHIN will not provide any funding or reimbursement for the preparation of the EOI.

  • To download a copy of the EOI Backgrounder, please click HERE.

Locally, the Central East LHIN has developed a Residential Hospice Strategy that provides a framework for stakeholders who are interested in the planning, development and implementation of residential hospice in the Central East LHIN. It is the expectation that successful proponents work collaboratively with the LHIN and local stakeholders in the planning of the residential hospice to ensure integrated systems of care for palliative patients and their caregivers.

The Deadline for EOI submission is to the Central East LHIN is January 6, 2017.

Health service providers, organizations and/or individuals interested in pursuing the development of a residential hospice were invited to participate in information webinars held on November 29th.  To view information from these events, please click on the links below:

  • For a copy of the Residential Hospice EOI Webinar Presentation, please click HERE.
    • Residential Hospice EOI Webinar Audio for Session One HERE.
    • Residential Hospice EOI Webinar Audio for Session Two HERE.
  • Frequently Asked Questions

For additional information, please contact Jenny Greensmith at jenny.greensmith@lhins.on.ca or 905-427-5497 ext. 248.