Durham Mental Health Services integrates with Lakeridge Health The memo also said that union leaders have been notified about planned staff reductions, however Lakeridge confirmed today that it was only a restructuring of their departments, with minimal impact to employees.“Implementing these services will require shifting of how and where services are offered,” said John Perenak with Lakeridge.“We must follow collective bargaining agreements, which means moving an employee from one team to another requires a layoff notice, at the same time as a job offer.”When Global News asked if this included voluntary layoffs, they said they are working through collective agreements in the process.The Durham hospital network says in the major.