New Study Demonstrates Better Health Care for Prisoners, Reduced Costs

TORONTO, ON (July 19, 2017) The Journal of Correctional Health Care has published the results of a study conducted by Toronto Central Local Health Integration Network (LHIN) in partnership with Toronto Police Service and home care services provider organization Spectrum Health Care. 

The study, which demonstrated a new process for managing diabetic needs of prisoners during court dates, resulted in improved quality of care for prisoners, as well as substantial cost savings for police services and eliminated emergency department visits.

To improve continuity of care during transfers of prisoners with diabetes, the Toronto Central LHIN (formerly the Toronto Central Community Care Access Centre) was engaged by Toronto Police Service’s Court Services to assist with the management and preventive care of these prisoners who are transported from the detention centre to provincial court. Previously, prisoners who experienced a diabetic event while at the courthouse would be transported to a local Emergency Department for care. This resulted in significant costs to police services, corrections and healthcare systems. The new process studied brings a community nurse to the courthouse for diabetic management and treatment.

Since the initial study, the new process has since been implemented at two additional detention centres (Vanier Centre for Women, Toronto East Detention Centre) and three courthouses (Old City Hall, Superior Court, 1911 Eglinton Ave. East). This new process has successfully eliminated Emergency Department visits and has resulted in an estimated systems-level cost saving exceeding $300,000. 


“This is a wonderful example of how effective a collaborative approach can be to finding solutions that improve care while creating savings for our health system. I know there are many other opportunities for us to engage with organizations across Toronto to do similar work.”

— Susan Fitzpatrick, Chief Executive Officer, Toronto Central LHIN

 “As the Toronto Police Service continues its transformation, our work with the Toronto Central LHIN demonstrates how much we can achieve working with skilled partners: better care for diabetic prisoners, elimination of emergency-department visits, significant cost savings. This is a sterling example of the way forward.”

— Chief Mark Saunders, Toronto Police Services


  • Study demonstrated an 80reduction in per prisoner cost of administering care, from $797.58 to $161.93;
  • There was a 57reduction in the per prisoner time required to provide diabetic care from over seven-hours per prisoner -time to just over three-hours;
  • Emergency Department visits were eliminated completely during all 72 court dates that occurred in the study period; 
  • Study involved prisoners transported from the Toronto South Detention Centre for their court dates at College Park Court House;
  • The study was published in the Journal of Correctional Health Care, Vol 23(3), July 2017.
  • Study authors are: Tim Pauley, MSc, Joy Matienzo, McHCM, BScN and Josie Barbita, MSc, BScN of Toronto Central LHIN and Joseph Ventura of Toronto Police Service.

About the Toronto Central LHIN

Toronto Central LHIN has the highest concentration of health services in Ontario with more than 170 health service providers delivering 210 programs. The Toronto Central LHIN is responsible for planning, integrating and funding local health services that meet the needs of 1.2 million residents and thousands of other Ontarians who come to Toronto for care. We deliver high quality home and community care services, and coordinate access to primary care providers and communitybased services to help people come home from hospital or live independently at home.


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For more information, please contact:

Megan Primeau

Manager, Communications

Toronto Central LHIN





Mark Pugash

Director, Corporate Communications

Toronto Police Service

416 808 7088