Transforming Women and Children’s Care

Transforming Women and Children’s Care

At SHN, we’re working to provide you and your family with the best care.

Scarborough Health Network (SHN) is transforming care for our community by looking at how best to deliver our services to provide the highest quality specialized care that patients and families need, when they need it, right here in Scarborough — and we started with our Women and Children’s program.

SHN nurses, midwives, physicians, and allied-health staff collaborated with community members, patients, family members, and external experts to develop a new service-delivery plan.

New Service Model


Leading program focused on best practices


Same level of exceptional care across health network


High-quality, specialized care available in the community


Bringing together leading specialists in the field

Comprehensive and Connected Services

Our Scarborough community will have access to the following women and children's services across our connected health network. Click each service to view where they can be accessed.

Emergency department care
24/7 physician on call

For Obsetrics/Gynecology and Paediatrics

Labour and Delivery
Obstetrical Clinics
Inpatient Paediatric Care


Paediatric Day Surgery
Outpatient Paediatric Clinics
After-hours paediatric clinic
Follow-up Newborn/Neonatal clinics
Subspecialty child & teen clinics

Innovative Care Delivery

Kids Pass

Children brought to the ED are quickly assessed, and appropriate patients go to the Kids Pass clinic for further consultation by a paediatrician.

Kids After Hours Clinic

Walk-in clinic for children who have common medical issues to be seen by a paediatrician. No referrals necessary.

Kids Short Stay Clinic

Paediatric patients coming to the Birchmount ED who need further consultation by a paediatrician and nurse, and who are hemodynamically stable will be seen in the clinic.

Integrated Family Care Rounds

SHN is adopting Provincial Council for Maternal and Child Health guidelines for building effective integrated care teams.

OBGYN Clinics

Specialized clinics for expectant parents who experience complications or high risk conditions:

  • Early Pregnancy and Urgent Gynecology Clinic (General)
  • Maternal Fetal Medicine Clinic (Centenary)
  • Obstetrical Medicine Clinic (Birchmount)

Moving Forward with Implementation

After a year of planning, research, consultation, and collaboration, SHN’s Women and Children’s program is heading into a busy autumn, as we gear up to develop centres of excellence for paediatrics –newly named: SHN Kids Care, obstetrics, and neonatal intensive care.

Timelines for move

On Wednesday, October 30, we took a big step toward transformation. The birthing, neonatal intensive care unit, and SHN Kids Care teams welcomed patients and families to new and expanded spaces at the Centenary and General hospitals.

These are important steps toward developing centres of excellence in Women and Children’s care at our Centenary and General hospitals.

Our top priority is our patients’ safety, particularly during this time of transition. SHN physicians, nurses, and clinical interprofessional staff have developed comprehensive and evidence-based safety protocols for the transition and ongoing care for our patients and their families. Here’s a recap of the week of our big move:

The changes and moves were successful because of the tremendous amount of planning, preparation, and professionalism of the Women and Children’s team and colleagues from other impacted departments over the past year. This marks an important milestone as we transform women and children’s care in Scarborough, and as our programs and services evolve to meet our community’s needs.

The teams’ dedication to patient safety and high quality care, as well as supporting each other through the process, was exceptional and inspiring. This transformation will allow our team to expand their expertise in treating women with high-risk pregnancies, and newborns, children and teens with complex and specialized needs. It will also reduce patient transfers from Scarborough to downtown hospitals, making it possible for more Scarborough families to receive the care they need, right here in Scarborough.

With these exciting and positive changes, SHN continues to shape the future of care for people in Scarborough, and transform health care for women and children today, and lead young lives to a healthier tomorrow.

Skills training for nurses

The Women and Children’s team hosted skills-building workshops to support emergency and paediatric nurses. The workshops were an exciting educational opportunity, bringing staff from all three hospitals together to meet each other, learn together, and share their experiences in caring for children, babies, and expectant parents. More than 300 emergency and paediatric nurses have enhanced their skills through this training.

High-risk situation simulations

In mid-October, SHN physicians, midwives, and allied health professionals will join colleagues from the Sunnybrook Canadian Simulation Centre for an accredited simulation activity. The simulations will focus on high-risk health scenarios for children, babies, and expectant parents who need care at SHN’s Emergency Departments or need to be transferred between SHN hospitals.

Refreshing and renovating facilities

Refreshing and upgrading the Family Birthing Centres and Neonatal Intensive Care Units is underway at the Centenary and General hospitals. And the brand new paediatrics unit and Kids Clinics at the General hospital are taking shape. We are also creating specific child- and family-friendly spaces in all of SHN’s Emergency Departments and opening a new Kids Short Stay Clinic at Birchmount hospital.

Learn More

Background information

Over several months, a committee of people who know the program best – doctors, midwives, nurses, patients, and families – studied options, consulted with experts and received advice, ideas, and suggestions from hundreds community members about how to provide the best possible care for Scarborough’s women and children.

This very thorough review process was led by the medical team in our Women’s and Children’s program – not SHN administrators.

The review committee recommended that SHN reinvest in our birthing and children’s care at the Centenary and General hospitals. In January 2019, SHN’s Board of Directors unanimously approved the recommendation to reinvest in the Women’s and Children’s program at the Centenary and General hospitals.

With this change, SHN will be able to re-imagine how we deliver our Women’s and Children’s program. It will allow our team to strengthen their skills and increase their expertise in caring for women with high-risk pregnancies, and newborns and children with complex and specialized needs. We will be able to set a new standard for high-quality care and patient safety, and deliver exceptional services for patients today and tomorrow.

Check out resources

Kids Care Services

Kids Care Services at SHN – two-page handout

Maternal and Newborn Services

Maternal and Newborn Services at SHN – two-page handout

Impementation Report

Women and Children’s Program Clinical Service Plan Implementation Report

Service Review Report

Women and Children’s Program Clinical Service Review Report

Letter to Community

CEO and Chief of Staff letter (January 23, 2019)

News Release

SHN Board of Directors approves plan to begin shaping the future of care in Scarborough (January 25, 2019)


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