SPEECH BY MR ONG YE KUNG, MINISTER FOR HEALTH, AT THE OFFICIAL OPENING OF REDEVELOPED PASIR RIS POLYCLINIC, 7 OCTOBER 2024, 2.30PM, AT PASIR RIS POLYCLINIC
7 October 2024
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Senior Minister Teo Chee Hean
SMS Dr Janil Puthucheary
SMS Desmond Tan
Advisors Ms Yeo Wan Ling and Mr Sharael Taha
Mr Cheng Wai Keung, Chairman, SingHealth
Professor Ng Wai Hoe, Group CEO, SingHealth
Colleagues and friends
1. It is my pleasure to join you today at the official opening of the redeveloped Pasir Ris Polyclinic. A couple of years ago, we started a new practice in the Ministry of Health (MOH), which is that we will officially open a polyclinic on its first day of operations, instead of waiting months later when you are operationally ready. We thought to have a smaller event to open on the first day of operations.
2. I was told we cannot roll pineapples in a Polyclinic, even if it is on the first day, but I am very happy to be able to share this day with everyone. But just for the record, at a Polyclinic, we wish for health, not wealth.
Primary Care in Singapore
3. Pasir Ris Polyclinic is one of our 26 polyclinics in Singapore. Together with the private General Practitioner (GP) clinics, they form the primary care system of our healthcare system.
4. Primary care is probably the most critical part of any healthcare system. It provides universal access to healthcare for everyone. It ensures efficiency because through primary care, we can treat an illness before it becomes serious. In an ageing society like Singapore, primary care moves further upstream, to deliver preventive care and build health in our community and the population.
5. Many countries recognise that. I have been visiting healthcare and primary care systems in many parts of the world. In China, for example, over the last 10 years, they have been building the equivalent of polyclinics – what they call Community Health Centres – in their cities. I have visited a few of them. In Beijing, there is one centre for every 50,000 residents.
6. Indonesia is also expanding its network of community health centres, called “Pusat Kesihatan Masyarakat”, throughout the archipelago of 18,000 islands.
7. The Philippines is actively building community primary care centres, called BUCAS (Bagong Urgent Care and Ambulatory Service) centres. Their Health Minister told me their system is in fact modelled on our polyclinics system.
8. In Singapore, we have always placed strong emphasis and invested significantly in primary care. This includes upgrading the competencies of our family doctors, organising doctors, nurses and care coordinators into teams to deliver more holistic and effective care, and building new polyclinics, facilities and infrastructure.
9. Today, our polyclinics manage almost seven million outpatient visits every year, including 40% of all chronic care patient load. Primary care accounts for about 15% to 20% of total healthcare spending. It is a reasonable and healthy level, which reflects its importance, and we should try to maintain this even as overall healthcare expenditure increases.
10. We will focus on a few key areas of primary care in the coming years. The first is infrastructure, namely the expansion of the polyclinics network. The number of polyclinics will grow from 26 today to 32 by 2030.
11. Second, in preventive care, through the Healthier SG strategy. This is a long journey. But we have an encouraging start, judging by the number of enrollees in the programme. More importantly, I think there is a palpable shift in health habits amongst Singaporeans. We always say Healthier SG depends on three up’s – sign up, turn up and follow up. We have achieved signing up and turning up, and now, we need to follow up. We need to continue to put resources in incentives, outreach, community programmes, new care protocols, technology and IT systems, to make Healthier SG successful in building health for the long term.
12. Third, we also need to upgrade the private family doctor clinics. Excluding aesthetics clinics, we have about 1,600 private clinics. They are an integral part of the national healthcare system. They deliver subsidised primary care through the Community Health Assist Scheme (CHAS), help manage patients with chronic diseases, and coordinate care with polyclinics, hospitals, as well as social agencies. During pandemics like COVID-19, they stepped forward and became our first line of defence, directly attending to infected patients.
13. We are looking into ways to enhance the professional competencies of private family doctors, improve their premises to encourage multi-disciplinary practice, and strengthen their partnerships with community organisations and other healthcare providers.
Uniqueness of Pasir Ris Polyclinic
14. This newly redeveloped Pasir Ris Polyclinic is a good example of our commitment to improving primary care in Singapore. Our planning team had put in extra effort to create a polyclinic that is community- and patient-centric
15. It is an impressive polyclinic. There will be a wide range of services, including physiotherapy and dental services. In the coming months, the Grace Memory Clinic and Health Wellness Clinic will be opened to support residents with dementia and mental health needs.
16. This polyclinic will be a training site for family doctors. It will also feature an Academic Family Medicine Centre, dedicated to training doctors under the Family Medicine residency programme.
17. It will also enhance service delivery through the use of technology such as telemonitoring, electronic registration, appointment making and payment options for a more seamless patient experience. Teleconsultation services will not only cover traditional areas like preventive care and chronic disease management, but also dietician and physiotherapy services.
Closing
18. I thank everyone who has put in so much effort to plan, design and execute this newly redeveloped Polyclinic. I also want to thank the Grassroots Advisers who have paid a lot of attention to this redeveloped Polyclinic, and helped MOH ensure that it will serve the needs of the community and its residents.
19. As an Adviser in Sembawang who is heavily involved in the development of our community hub called Bukit Canberra, I can fully appreciate what it is like for other Advisers to oversee such a major integrated development like the Pasir Ris Mall.
20. It doesn’t open with a big bang, but facilities are added in phases. Each addition makes the destination even more attractive, evolving into a hub for residents. I am glad that MOH gets to contribute to this key community project in Pasir Ris town. On that note, let me now invite Senior Minister Teo Chee Hean, the lead Adviser of this area, to deliver his remarks.