Family doctors delivering preventive and chronic care as a central pillar of Healthier SG have to consider the varied care needs of the population. At the same time, the approach for delivering care and needs to be effective, consistent, well-coordinated and patient-centred. To this end, MOH initiated a multi-year effort to develop a clinical service roadmap for primary care in partnership with GP leaders from the College of Family Physicians Singapore (CFPS), Singapore Medical Association, Primary Care Networks (PCNs), and healthcare clusters. As part of the roadmap, Care Protocols are being developed for common clinical situations where harmonisation of processes, clearer referral and data flows, and coordination of ancillary support services are essential.
12 Care Protocols were developed for the launch
of Healthier SG in 2023 covering the most common chronic conditions - diabetes mellitus, hypertension and lipid disorders - as well as key lifestyle related areas such as cigarette smoking cessation and weight management.
6 new Care Protocols, including chronic conditions such as stable ischemic heart disease and stable stroke, will progressively be published from September 2024 to support the management of these conditions in primary care. These new Care Protocols will be implemented from January 2025 – HSG GPs may refer to updates from AIC for details on the implementation of these protocols.
Additional care protocols will be progressively developed in consultation with family doctors to cover other key chronic conditions where it would be beneficial to do so. The roadmap will be reviewed periodically with family doctors and healthcare clusters to ensure continued relevance.
The care protocols in this portal have been organised into three categories: (1) Preventive / Acute Care and (2) Chronic Care
Each care protocol provides clear and concise evidence-based guidance for assessing and managing a patient for a particular condition. They are developed with reference to the relevant national clinical practice guidelines (CPGs) and Agency for Care Effectiveness (ACE) guidelines as well as MOH circulars. They also cover recommended health screenings, medications, lifestyle adjustments, and escalation to specialist and acute care when necessary. This way, residents can be assured that essential care elements are consistently carried out regardless of which doctor they choose to enrol with under Healthier SG.
Click here for more information on Healthier SG.
Disclaimer:
No reproduction, transmission, or distribution of the HSG Care Protocols.
The HSG Care Protocols and its contents belong to or are licensed to the Government of the Republic of Singapore, as represented by the Ministry of Health (“MOH"), for the purposes of Healthier SG.
No part of the HSG Care Protocols may be reproduced, transmitted or otherwise distributed without the prior written approval from MOH.
The HSG Care Protocols do not replace any clinical judgement or decision-making.
The HSG Care Protocols only serve as a guide and should not be used as a replacement for clinical judgment by the relevant professionals or as a substitute for personalised medical advice. Please evaluate their appropriateness and relevance to your patients before relying on the HSG Care Protocols. Please also note that the contents of the HSG Care Protocols are subject to change by MOH without prior notice.
Disclaimer on Responsibility and Liability.
MOH assumes no responsibility for any error or omission in the contents of the HSG Care Protocols. MOH is also not liable for any loss or damage in connection with the use of the HSG Care Protocols, including hyperlinks to external websites, for any purpose, to the extent permitted by law. If any error or inaccuracy is believed to be found, please notify us at this email:
gp@aic.sg.
