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from straitstimes.com:

Singapore to double number of eldercare centres by 2025, expand their services​


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SINGAPORE - Singapore aims to almost double the number of eldercare centres to 220 by 2025 as the Ministry of Health (MOH) expands the scale and scope of the services of such centres.

MOH also plans to double the number of nursing home beds to more than 31,000 in the next 10 years.

Between 2010 and 2020, MOH had raised capacity by 70 per cent to 16,200 beds from about 9,600, said Health Minister Ong Ye Kung on Monday morning (June 13).

He was speaking at the Agency for Integrated Care's (AIC) annual Community Care Work Plan Seminar, a hybrid event held at Pan Pacific Singapore. AIC was set up by the Government to coordinate eldercare services.

With Singapore facing an ageing population, where many more aged sick will need to be looked after, eldercare centres will take the pressure away from the acute hospitals and nursing homes, he said.

The pool of community care providers will also need to be beefed up.

To date, Singapore has 119 eldercare centres.

They are go-to points for seniors, and provide services such as active ageing programmes, befriending and information on and referral to care services.

But the scope of eldercare centres will be increased, Mr Ong said.

Eventually, each centre should be responsible for 1,000 to 4,000 seniors, and work with community networks such as grassroots organisations and general practitioners (GPs) to address seniors' health and social needs.

Currently, seniors visit their GPs or polyclinics once every few months for their chronic conditions. In between these visits, they can go to these centres to take part in health-related activities or enrol in active ageing programmes.

But MOH would like these centres to help seniors monitor their vitals, do simple health screenings and link up with other service and healthcare providers, Mr Ong said.

The escalating strains of an ageing population have impacted the community care sector tremendously, he said, adding that this sector has grown significantly over the years and will continue to do so.

There is also a need to expand good-quality end-of-life care at home, in centres and in hospices, said the Health Minister.

"Over the last few years, we have tested and integrated new models of care between hospital and home. We will have to do more for palliative care to be further anchored in the community," Mr Ong said.

And nursing homes will be a key partner.

"Nursing home residents will not want to go through multiple transitions to hospital and back towards the end of their lives, as it can be very distressing," he noted.

MOH will work with the nursing homes to build up their staff's skills and confidence in managing end-of-life journeys, including attending to residents' health symptoms, facilitating advance care planning and providing emotional support to residents and their family members.

In his speech, Mr Ong cited manpower constraints as a major concern for community care providers. The sector needs to retain as well as attract new staff.

First, salaries must be competitive. MOH's Community Care Salary Enhancement exercise has committed about $290 million to raise the pay of community care organisations' staff from 2020 to 2023.

"This will ensure that their salaries remain competitive against the public healthcare sector and the market," Mr Ong said.

Second, MOH and AIC will continue to invest in skills development of the sector's workforce. AIC's learning institutes have scaled up their offerings, with more than 18,000 training places available annually.

Third, MOH is also working on transforming existing roles through job redesign for non-clinical manpower and digitalisation, to increase productivity and value of the jobs.

MOH is embarking on a Community Care Digital Transformation Plan to help remove repetitive and administrative tasks, Mr Ong said.

Finally, Singapore will still need to rely on foreign healthcare workers. This will help to complement the local workforce.

"I am a big believer in using technology and digital health to improve preventive care, but community care is inherently a very high touch sector. There is a limit to replacing physical manpower with technology and digital solutions," Mr Ong said.

He also stressed the need for the community care sector to be Covid-19-ready.

The pandemic has affected seniors to a larger extent, with the community care sector bearing disproportionate responsibility for it. This sector must stand ready to deal with new infection waves, new variants of concern or even a new pandemic, he said.

Since February, more than 4,700 nursing home residents infected with Covid-19 have been cared for on site.
 

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from straitstimes.com:

Nursing homes need to be ready for next Covid-19 wave: Ong Ye Kung​


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SINGAPORE - Singapore has so far successfully managed to prevent Covid-19 from sweeping through the country's nursing homes and attacking some of the most vulnerable groups.

This is achieved through vaccinations and good infection control measures.

The Ministry of Health (MOH) rolled out vaccinations to more than 90 per cent of eligible nursing home residents and senior care centre clients, as well as over 10,000 home-care clients.

However, there is a need to prepare the sector for the next infection wave, new variants of concern or even a new pandemic, Health Minister Ong Ye Kung said yesterday.

He was speaking at the Agency for Integrated Care's (AIC) annual Community Care Work Plan Seminar, a hybrid-format event held at Pan Pacific Singapore.

AIC was set up by the Government to coordinate eldercare services.

In the short term, Singapore should expect a new infection wave, likely next month or August, but these infection numbers matter much less than the number of people who fall severely ill and need to be hospitalised, Mr Ong said.

Every healthcare setting will need to be Covid-19-ready.

During the recent Omicron wave, nursing homes worked tirelessly with AIC to look after their infected residents on-site, under the Care@NH initiative.

Since February, more than 4,700 infected nursing home residents have been cared for on-site.

"Imagine if they had all been transferred to hospitals. It would have overwhelmed our system," Mr Ong said.

Currently, more than 80 per cent of nursing homes, including the two inpatient hospices, are under the Care@NH programme.

He added: "MOH hopes to work with the remaining homes so that by the time the next wave arrives, they are all ready.

"For residents who are at higher risk or have more complex conditions, be assured that they will still be transferred to acute hospitals."

Nursing homes must also continue to actively accept transfers of patients from acute and community hospitals.

Since April, the sector has been accepting about 300 new admissions each month from such hospitals.

Most importantly, Singapore needs to ensure that seniors get their booster shots.

For those above 60 years old and who have not received their primary series, the incidence of severe illness and death after Omicron infection is close to four in 100.

For those not boosted nine months after their primary series, the incidence rate is one in 100. For those boosted, the incidence rate drops to three in 1,000.

"Omicron is therefore a dangerous disease for seniors who are not fully vaccinated and boosted," Mr Ong said.
 

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from straitstimes.com:

Indonesia can overcome next Covid-19 wave: Health Minister​


SINGAPORE - Indonesia believes it can overcome the next Covid-19 wave, likely driven by the BA.4 and BA.5 Omicron subvariants, as most of its population have high levels of antibodies due to past infections and vaccination against the virus.

In an interview with The Straits Times on Tuesday (June 14), Indonesian Health Minister Budi Gunadi Sadikin said barring any new variants emerging, the country would be ready to treat the coronavirus as endemic later this year.

"I strongly believe based on the evidence that it will be milder than the Delta and Omicron waves," he said, referring to the next surge that is expected in July.

This was because the BA.4 and BA.5 variants, which were first detected in South Africa, peaked at a lower level than that seen with the original Omicron wave.

Additionally, a serological survey in March showed that 99.2 per cent of Indonesia's population has Covid-19 antibodies due to a combination of previous infections and vaccinations. This was higher than the figure of 88.6 per cent reported in a similar survey in December last year.

Indonesia's Covid-19 cases have generally been on a downward trend and its current positivity rate - which measures the proportion of those testing positive - is below 5 per cent. Meanwhile most restrictions have been eased.

"Hopefully by July, (we will reach) the peak of the BA.4 and BA.5 variant, and because our antibodies level is still high, we believe the severity level and hospitalisation rates will be lowered," Mr Budi said.

With the next wave expected to wane around August or September, and barring any new variants emerging, Mr Budi said "hopefully that will be a good sign to transition from pandemic to endemic".

Still, that does not mean Indonesia will be complacent.

Mr Budi said the country will accelerate the rollout of its booster jabs and continue to urge its people to practise self responsibility by wearing face masks, adopting good hygiene, conducting regular self-tests and isolating themselves if they test positive for Covid-19.

The minister later spoke at the Indonesia-Singapore Business Forum organised by the Indonesian embassy in Singapore and the Indonesian Chamber of Commerce and Industry, where he highlighted Indonesia's healthcare reforms, including changes to how primary care is approached. The Straits Times is the media partner for the event.

"We need to change the mindset... focusing on keeping you healthy is much more important than curing you when you are sick," he said.

Also on the panel was Singapore's Health Minister Ong Ye Kung, who outlined Singapore's strategy in tackling the pandemic, including by using technology such as health apps as part of daily life.

Singapore, he said, is facing a "silver tsunami", with one in six of its residents currently aged above 65. By 2030, this figure will rise to one in four, he noted.

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Mr Ong said one major policy change Singapore has seen since Covid-19 is the whole GP, or general practitioner and family doctor, sector becoming part of the public health system.

"They are out there, attending to patients with Covid, making decisions 'do you rest at home, do you go to hospital or do you go to isolation facility, do I test you with ART or PCR'... they are making all those triaging and medical decisions on the ground as part of our system," he said.

Another speaker, Mr Yet Kum Meng, the chief executive officer and executive director of OUE Lippo Healthcare, outlined some challenges the healthcare sector needed to overcome. This includes data sharing between the public and private sectors, as well as within the private sector, that will entail tackling issues concerning data privacy and data security.

Fellow panellist Levana Sani, the co-founder of biotechnology company Nalagenetics, said pharmacogenomic information, or data on how a person's genes affect his response to medication, should be accessible on the lab level and be integrated into electronic health records.
 

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OYK goes pink. :biggrin:

Ong Ye Kung

6 hrs ·
I went pink to support our breast cancer warriors and survivors.
The event is the ‘Ahead of Time’ photo exhibition by the Breast Cancer Foundation.
It features stories of 25 breast cancer survivors and their children, with portraits captured by 9 outstanding Singapore photographers.
The exhibition will be held at the ION Art Gallery until the end of this month. Please help raise the awareness that early detection of breast cancer makes all the difference.
Photo credit: Breast Cancer Foundation

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jw5

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Only the fellow second from left not wearing pink. :unsure:
Oh wait, maybe his shirt is a very very light pink. :biggrin:

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jw5

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OYK wishes Happy Father’s Day to all fathers! :wink:

Ong Ye Kung

12 hrs ·
Fathers I’ve met in the community. Times have changed and many fathers today are hands on in sharing household responsibilities. I think we can play a different but equal role from mothers in raising healthy and happy children.
Happy Father’s Day to all fathers!

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OYK glad to speak to students face-to-face. :wink:

Ong Ye Kung

11 hrs ·
After a two-year hiatus, glad that I had the chance to speak to students face-to-face at the Varsity Voices Dialogue again.
The topic was on youths navigating a post-pandemic world.
I shared with them that every generation has its challenges and defining moments. My generation lived through the uncertainty of the Cold War, which fortunately did not escalate into a nuclear war. The current younger generation are living through heightened risk of geopolitical conflict, climate change, technology reshaping how we live and the worst global pandemic crisis of the modern world in COVID-19.
So what’s next for our youths? To them, I say: let the post COVID-19 world bring out the best in you. It is a pity that you missed out many school experiences due to COVID-19, but you have also gained a lot, in terms of grit, resilience and a strong sense of social responsibility.
As we exit the pandemic, I hope you continue to hold on to this sense of purpose and conviction that you can play a part to make the world around you a better place.


 

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OYK arrived in Yogyakarta, Indonesia yesterday for the G20 Health Ministers’ Meeting and Joint Finance and Health Ministers’ Meeting. :wink:

Ong Ye Kung

4 hrs ·
Arrived in Yogyakarta, Indonesia yesterday for the G20 Health Ministers’ Meeting and Joint Finance and Health Ministers’ Meeting.
Yogyakarta is home to the iconic Borobudur and Prambanan temples. Both built in the 9th century, they are historical reminders that diverse cultures have been co-existing peacefully in Southeast Asia.
There is an interesting fact about Borobudur. In 1814, Sir Thomas Stamford Raffles, who was then Lieutenant Governor in Java, ordered the excavation of the monument which was then buried under volcanic ash and jungle vegetation. This ultimately led to Borobudur’s rediscovery. With the end of the Napoleanic wars and return of the Dutch to Indonesia, he went searching for a trading port for the British East India Company and decided on Singapore.

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