Source: Asia Pacific Region 2 – Singapore
Award recipients and their families,
Colleagues, ladies and gentlemen,
1. I am pleased to join you tonight for the 16th National Medical Excellence Awards (NMEA) ceremony. The awards are given annually by the Ministry of Health (MOH) to recognise outstanding healthcare professionals who have made significant contributions in the advancement of healthcare in Singapore.
2. The NMEA is significant because it recognises people. With resources, any system can construct infrastructure and any system can procure equipment and therapeutics, but it takes special capability to be able to nurture and develop good people who build a great healthcare system.
3. Recently the Pope visited Singapore as part of his Asia-Pacific tour. For those who have visited his home city – the Vatican City, we will know about Saint Peter’s Basilica. It is a majestic structure supported by large stone pillars. We have a very small version of this at MOH. When I go to work every day, I will also admire the brick columns fronting the College of Medicine Building.
4. The equivalent of these pillars for our healthcare system are our people. Let me briefly describe these pillars, in no particular order.
Pillars of Healthcare
5. The first pillar are our doctors and dentists. They stand at the forefront of patient care, working in multi-disciplinary care teams to deliver holistic care.
6. Each clinician – specialists and generalists – brings something important to the table. However, as our population ages and patients have multiple conditions, there is an increasing demand for broad-based competencies. That is why we are trying to train more Hospital Clinicians, and Senior and Principal Hospital Clinicians who can oversee and coordinate care for patients. They are increasingly assuming the role of team lead in acute hospitals.
7. Clinicians also serve as educators, scientists and mentors. Their work in research shapes the future of medicine, while their roles as mentors and educators nurture the next generation of healthcare professionals.
8. This evening, we recognise clinicians who epitomise the spirit and contribution in public healthcare. Tonight, we are recognising Professors Tan Ban Hock, Jerry Chan, Jodhbir Mehta, Tan Suat Hoon, Associate Professor Gerald Chua and Adjunct Professor Lau Tang Ching.
9. The second pillar are our nurses, the largest group of healthcare professionals in our healthcare system. We have over the years elevated the role of nurses. Nurses now coordinate care, ensure treatments are properly delivered, comfort patients and their loved ones, and push the boundaries of care through nursing research, education and innovation.
10. As the healthcare landscape evolves, their contributions extend well beyond bedside care, to anchoring care in the community, even shaping health habits amongst the population.
11. Third, Allied Health Professionals and pharmacists, who cover a wide range of expertise. Again, as the centre of gravity of care shifts out of hospitals and towards the community, their roles in screening, diagnosing, rehabilitating, providing vital support to patients and caregivers, and optimising medication regimens, are becoming more embedded in our day to day living environment.
12. The importance of their roles is growing, and so are the opportunities for them to lead community care initiatives.
13. The final pillar comprises the rich expertise of non-healthcare professionals, who work alongside, around or behind healthcare professionals to keep the healthcare system going. I am happy to say that as a non-healthcare professional, this is the pillar that I belong to!
14. For example, healthcare administrators ensure the smooth operations of our medical facilities and operations. They handle the budgets, finances, manpower, and ensure compliance with MOH’s regulations. IT professionals are transforming healthcare using data and digitalisation. Healthcare social workers help address the determinants of health at home and in the community.
15. These four pillars uphold the two key structures of our healthcare system – acute hospital care, and community care. They are separate, but contiguous, even overlapping structures. As I have alluded to in my speech so far, driven by an ageing population with changing healthcare needs, and major national programmes such as Healthier SG and Age Well SG, care is increasingly anchored in communities, health is being built up outside of hospitals, and new care models involving partnership between hospitals and community organisations, are emerging.
Caring for our Community
16. There is therefore a growing need for awards like the NMEA to recognise these decisive changes that are happening.
17. Hence, this year, we have introduced the new National Community Care Excellence Team Award. The inaugural recipient of this new award category is the Social Prescribing Programme led by SingHealth Community Hospitals, in partnership with the Agency for Integrated Care, SkillsFuture Singapore, and several Active Ageing Centres.
18. The team has successfully integrated clinical care with social prescriptions, by bringing hospital and community partners to work together. As a result, patients recover faster, they can better manage chronic diseases and improve their health and wellbeing. The team has made a name for themselves internationally and have participated as guest speakers for World Health Organization (WHO) webinars and co-developed online courses for WHO’s online course platform.
19. In addition, and I think this does not happen very frequently, the Clinical Excellence Team Award this year goes to a community-based, rather than a hospital-based initiative. The recipient is the Neighbours for Active Living, or “Neighbours” Programme, by Changi General Hospital (CGH).
20. Through this programme, CGH has identified over 14,000 residents who require follow up in the community. With the consent of the residents, they are then engaged by healthcare professionals and trained volunteers, to develop care plans for their health and social needs. The Neighbours programme is a new care model, which gives us a glimpse of the next phase of development of the national Age Well SG programme.
21. I should add that other than care models, there are many other efforts to help anchor care in the community. For example:
• We are expanding the capacity of community hospitals and Transitional Care Facilities.
• From next month, we will enhance the subsidies of community hospitals, to align with those of acute hospitals. This was announced some time ago, and effective from 1 October. The funding will be aligned. We will also allow subsidises for advanced diagnostics at community hospitals. By doing this, we minimise the delays and remove the friction for transfer from the acute hospitals to community hospitals.
• We are expanding the number of Active Ageing Centres. Out of a total of 209 centres, 199 are offering programmes across at least the four domains of physical, learning, volunteer and communal dining activities. About one-third of them is engaging 30% or more of the seniors assigned to them. When we started looking at the data, everyone was at the low, single-digit engagement. Now 30% is engaging 30% or more.
• We continue to make improvements to our data infrastructure, to facilitate sharing of patient data by healthcare professionals across settings. It also removes the need for repeated tests, screenings and assessment each time a patient moves from one setting to another.
22. All these added together, plus all your efforts, I think we are transforming the healthcare landscape. All these transformations are happening at a fairly rapid pace. It may be uncomfortable for some, but we have to change as our demography, patient profile and needs are also changing just as fast. With a common purpose and determination, in a few years’ time, we will have a different healthcare system. What will not change is that it will still be a system upheld by those core pillars, which are our people.
23. In closing, let me congratulate once again all our NMEA recipients. It is an honour and truly inspiring to be able to work with all of you. Thank you for your hard work and dedication, and also that of your loved ones and families who have supported you and continue to support you in this journey. I wish everyone an enjoyable evening.