South Island Division of Family Practice

Transitions in Care

The Transitions in Care Initiative has its roots in the need to improve communications between acute and community care settings.

Ongoing Transitions in Care work

Saanich Peninsula TiC Project

The Saanich Peninsula TiC initiative is bringing together the South Island Division of Family Practice, physicians, the Saanich Peninsula Hospital, and the W’SANEC First Nation community to collaborate and create an effective, culturally safe journey for First Nation clients transitioning into and out of hospital. This innovative transitions plan will be applicable for all hospitals and of benefit to all Aboriginal people navigating the hospital system.

Key features of the Transitions in Care initiative include:

  • Physician-focused World Cafés
  • Community-driven events and workshops
  • Hospital focus and working groups
  • Community focus / working groups, feasts, and interactions
  • Cultural safety training and awareness for hospital staff

For more information about the Transitions in Care Initiative - Saanich Peninsula contact Michelle Ham at or the office at (250) 658-3303.

Past Events

Journey Home Project

We are so excited to post this unique, fully funded opportunity to join the Journey Home Project, which is an innovative reconciliation project, to embed “cultural safety” in our palliative care services for First Nation patients on the Saanich Peninsula.  Please see the attached full description.

We invite you to be part of positive collaborative change in addressing the persistent challenges that we all face as care providers for Indigenous peoples in Canada, specifically as it pertains to Palliative and End of Life care. 

Save the dates! Interested physicians please email


Dr. Leah Norgrove,
Medical Lead Palliative and End of Life Care, Geo 3
Palliative Care Consultant, Saanich Peninsula Hospital

Jane Fox,
Aboriginal Nurse Liaison, Saanich Peninsula Hospital

Michelle Ham  TiC SIDFP


Information & Updates