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CCSEO Centre Expansion Project
This functional program details the space and resources required for the Cancer
Centre of Southeastern Ontario’s (CCSEO) expansion. It reflects the additional
support space necessary for the machines added in 1994, the growth to date and
the space needed until 2014 to address the regional demand for cancer treatment
services.
The existing CCSEO facility is undersized for current treatment activity by
approximately 35% compared to currently accepted planning standards for
ambulatory cancer treatment centres in Ontario. The centre has no capacity to
absorb any additional patient volumes.
Inadequate and inappropriate facilities and the resulting Human Resource
constraints have jeopardized patient’s access to care and future projections
indicate that the centre will not be able to sustain its current levels of
activity in the existing setting.
Quality of care is impacted due to the lack of modern treatment spaces and
spaces that are not configured to accommodate commonly accepted treatment
practices. Acceptable levels of patient confidentiality and privacy, standards
for infection control and occupational health and safety are not available in
the existing facility.
CCSEO has some unique features, which need recognition. Unlike other cancer
centres with similar volumes, CCSEO is an academic cancer center, which is part
of Queen’s University Faculty of Health Sciences (Schools of Medicine, Nursing
and Rehabilitation). The function of the Department of Oncology is housed
within the cancer centre. This association with Queen’s brings a responsibility
for health professional education, particularly undergraduate and postgraduate
medical education, as well as nursing, radiation therapy and physics education.
CCSEO’s involvement fulfilling this responsibility is exactly the same as that
of larger patient volume academic cancer centres. This is an important
distinction because space requirements are higher than those of an equivalent
non-academic centre. From a patient volume perspective CCSEO might otherwise be
compared with the non-academic centres.
Another distinction is Pediatric Oncology. CCSEO is the only cancer centre that
is a Pediatric Oncology Group of Ontario (POGO) satellite site. It houses the
Pediatric Systemic Oncology Program. CCSEO has to plan for a program where the
standard adult volume/space ratios do not apply. Children come with parents and
other relatives, need to be entertained and proportionately take up more space
than adults. The children disturb adults and need to be segregated from them.
Apparent discrepancies in space requirements result if pediatric patient needs
are not considered separately from those of adults.
In developing the functional program, CCSEO recognizes that the new Durham
Regional Cancer Centre (DRCC) will affect referrals. An arrangement already
exists with DRCC for Peterborough area patients who are referred to DRCC and
then to CCSEO if radiation treatment is required. The projected future growth
of radiation therapy at CCSEO reflects the impact of a fully operational
radiation facility at DRCC. Community systemic therapy programs already exist
in Peterborough, Cobourg, Brockville, Perth, Smiths Falls and Barry’s Bay,
CCSEO systemic therapy will be little affected by DRCC.
This planned expansion of CCSEO has been done in the context of Kingston General
Hospital’s (KGH) master planning exercise. The required renovations and
expansion can be accommodated by expansion on the Burr Wing in a manner that is
consistent with the longer-range master plan for KGH and any future expansion
requirements for the CCSEO. Project costing at Functional Program estimates a
total project cost of $52,297,922. The project can be ready to move to tender
Spring 2006 with construction completed Fall 2008.
CCSEO expansion is linked to KGH’s capital expansion projects, but a plan has
been developed that does not impact on the hospital and allows CCSEO’s
expansion to go ahead irrespective of KGH reconstruction.
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