Media Release: Our SilverCare Hub in Tampines Connects Healthcare and Social Services in Vital Ways to Support Senior Residents in Keeping Healthy and Ageing Gracefully at Home



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Admin@SACH
22 September 18
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Media Release: Our SilverCare Hub in Tampines Connects Healthcare and Social Services in Vital Ways to Support Senior Residents in Keeping Healthy and Ageing Gracefully at Home

Our SilverCare Hub (OSH) was officially launched today by Mr Heng Swee Keat, Minister for Finance and Adviser to Tampines Grassroots Organisations, at a community event in Our Tampines Hub.

OSH brings together various healthcare and social care providers in a strategic partnership enabling pooling of resources and expertise, to deliver a unique blend of integrated healthcare and social services for seniors across different care settings.

The partners of OSH are: Changi General Hospital; St. Andrew’s Senior Care (Tampines); the Eastern Community Health Centre; and the Tampines Family Medicine Clinic. The OSH also works closely with social and care groups in the wider community.

Our SilverCare Hub comprises three facilities located in close proximity at Our Tampines Hub

  • Andrew’s Senior Care (Tampines)
  • the Eastern Community Health Centre (Eastern CHC); and
  • the Tampines Family Medicine Clinic (TFMC).

While each offers services from its domain of expertise, as OSH they collectively provide – in partnership with health and community groups – a rich, connected range of healthcare and social services focused on helping senior residents and their caregivers get timely, comprehensive, specific, and integrated care, appropriate for their circumstances.

Adj A/Prof Lee Chien Earn, Deputy Group CEO, SingHealth Regional Health System, explained: “Our SilverCare Hub enables senior residents in the east to receive comprehensive and integrated care within their community. With health and social needs assessment available under one roof, the care needs of senior residents can be identified early so that the right help and support can be given. This will provide seniors the peace of mind, so that they have the confidence to live and age well in their community, knowing that support and help is available close by, when needed.”

 

Timely assessment to make a difference

For many seniors and their caregivers, timely assessment can make a big difference, enabling care needs – sometimes subtle – to be identified early, so that the right help and support can be given. As each family’s situation is unique, the help rendered by OSH needs to be personalised combining health and social support to enable seniors and caregivers to have the confidence and be empowered to age as gracefully as possible in their homes and communities.

Community partners, such as the national Community Network for Seniors, grassroots leaders or community care providers who know of seniors who may require support, can refer seniors to the TFMC, for a Comprehensive Geriatric Assessment (CGA) that seeks to holistically assess the seniors’ physical and functional abilities and psycho-social needs, This allows  immediate and long-term needs to be identified, so that a care plan with the appropriate treatment and referrals to the appropriate services, can be mapped out

The OSH enables a seamless treatment experience For example, all necessary information and care recommendations for intervention will be shared between respective OSH partners once consent from the senior or family has been obtained. This team-based approach will focus on the overall well-being of seniors.

 

Seniors benefit from convenient access to health, social and community care

The siting of OSH within Our Tampines Hub, Singapore’s first-ever integrated community and lifestyle hub, allows OSH to tap on multiple other agencies and services, to offer a comprehensive range of services,. With the suite of healthcare and social services offered by Our SilverCare Hub augmenting Our Tampines Hub’s offerings, seniors benefit from convenient access to health, social and community care. For example, seniors enrolled with the SASC (Tampines) can visit the Eco-Community Garden at level 5 to grow, harvest and cook vegetables, and share it with others during lunch at the care centre. Others may like to have a game of table-tennis at the Community Auditorium at level 3.

 

Integrated Care and support through partnerships and collaboration

By collaborating with various partners in the community and Our Tampines Hub, health and community services can be better integrated to serve the needs of seniors with complex and/or higher care needs. For example, seniors can receive comprehensive GP services at TFMC, ancillary services for better chronic disease management at the Eastern CHC, and day care or community rehabilitation services at SASC (Tampines). Seniors can be referred to CGH should their condition become morecomplex and specialist support is required. This close working relationship between the partners enhances the management of geriatric and chronic conditions within the community.

Our SilverCare Hub will also work closely with CGH-led community programmes such as Neighbours, Hospital to Home and the community nurses, CGH also supports the OSH in managing geriatric and chronic conditions through:

  • Attachments and/or training sessions to equip healthcare professionals in the community with the necessary knowledge and skills
  • Monthly multi-disciplinary discussions with CGH geriatricians and community nurses for complex cases
  • Support through telephone from CGH’s multi-disciplinary geriatric-trained team of professionals
  • Shared protocols between primary, community and tertiary institutions

 

About Changi General Hospital

Changi General Hospital (CGH) is an award-winning public hospital with over 1,000 beds serving a community of more than 1 million in eastern Singapore. CGH offers a comprehensive range of medical specialties and services, helmed by a highly experienced and skilled team of healthcare professionals who consistently deliver excellent health outcomes and care for patients. CGH is a member of the SingHealth cluster of healthcare institutions.

 

About Eastern Community Health Centre

The Eastern Community Health Centre (Eastern CHC) is conveniently located at Our Tampines Hub to provide the community with easy access and affordable health services. We work with and complement medical services provided by general practitioners to ensure that residents in the community receive the medical care that they need. Services at the Eastern CHC are provided by experienced nurses and allied health professionals.

 

About St. Andrew’s Community Hospital

St. Andrew’s Community Hospital (SACH) provides rehabilitative, sub-acute palliative, dementia and continuing care for adult and paediatric patients after their hospitalisation for acute care at a general hospital. SACH aims to help patients recover and regain daily living functions before they are discharged back into the community. SACH has 246 beds in service. It also provides community care through its three outpatient clinics (in Simei, Elliot Road and Kampong Glam), a mobile clinic, a day rehabilitation centre at Simei, and community therapy and home healthcare services. In addition, SACH operates two senior care centres: St. Andrew’s Senior Care (JOY Connect) and St. Andrew’s Senior Care (Tampines).

 

About Tampines Family Medicine Clinic

Tampines Family Medicine Clinic (TFMC) is a multi-doctor general practice that provides a wide range of healthcare services conveniently located under one roof. Led by a team of experienced family physicians, the clinic provides doctor’s consultation for both acute conditions and chronic diseases for children, adults, and the elderly. At TFMC, patients can request for the same doctor each time they visit, thereby enhancing the personal care and attention given.


 

Description of each facility within Our SilverCare Hub: 

1. St. Andrew’s Senior Care Centre (Tampines) is an integrated eldercare facility that provides a wide spectrum of healthcare services and social activities to meet the needs of our seniors so that they can age gracefully. Located at 4th level, it offers:

  • Day Care: Care for seniors while caregivers are at work. Includes social-recreational activities and maintenance exercises.
  • Dementia Day Care: Care for seniors, diagnosed with mild and/or moderate dementia. Includes a structured programme to improve seniors’ well-being and to support caregivers.
  • Community Rehabilitation: Therapy for seniors recovering from stroke, hip fracture and other illnesses.
  • Centre-based Nursing: Simple nursing procedures such as wound dressing, etc.
  • Home-based Services: SASC (Tampines) taps on SACH’s Home Care Services (home medical, home nursing, home therapy or/and home personal care services).
  • Community Case Management Services (CCMS) work with community partners, especially Community Network for Seniors (CNS) colleagues, to coordinate care for clients with complex social and medical needs.

 2. Eastern Community Health Centre (Eastern CHC), located at 3rd floor, supports and complements health services provided by GPs to deliver comprehensive, holistic care for patients with stabilised chronic diseases. It serves young adults to seniors who may have muscular-skeletal problems or chronic conditions

  • There will be more convenient access to services such as diabetic foot and eye screening for early detection of abnormality and early intervention.
  • Individuals will be able to receive advice on management of their conditions, including lifestyle and dietary modifications.
  • List of CHC services: Diabetic Eye Screening, Diabetic Foot Screening, Dietetics Services, Nurse Counselling Services, Physiotherapy.

 3. Tampines Family Medicine Clinic (TFMC), which can be found on 3rd floor, is a one-stop medical provider for all ages – from young to old, offering a wide range of affordable primary care services, with a focus on chronic disease management.

  • It also provides nursing, point-of-care diagnostics, and minor surgical procedures, so that patients can enjoy greater convenience, affordability and accessibility to such services.

 

Sample client pathways (names have been anonymised to protect client’s privacy)

 

S/N Client Basic information about client Usage of OSH facilities
1. Mr. Y 63 year old, Chinese with dementia
  • Attends dementia day care at SASC twice a week.
  • Goes to the OTH sports hall to play ping pong with other clients
  • Wife is glad that he is engaged in many social activities while she is at work
2. Mdm D. 71 year old, Indian with heart failure and multiple chronic conditions
  • Referred from CGH to TFMC in Mar 2018
  • Comes to TFMC in between her CGH Cardiovascular Medicine outpatient appointment.
  • TFMC doctor helps to titrate her medications to keep her well and prevent hospital readmission.
  • TFMC doctor also manages her other chronic conditions and ensure that she is up to date with her vaccinations.