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More financial support from Government for palliative care from 2024: Ong Ye Kung SINGAPORE – Subsidies for palliative care will go up and the MediShield Life claim limits for inpatients will also be adjusted from the first half of 2024 to improve affordability and access to such services. The limit on the MediSave lifetime withdrawal for home palliative care and day hospice patients who use their own MediSave will also be removed. The moves are made in relation to the recommendations of the 2023 National Strategy for Palliative Care (NSPC), which was launched on Saturday. They will also allow palliative care providers to expand their capacity to support more clients who prefer to die at home. Minister for Health Ong Ye Kung said his ministry will significantly increase financial support. Speaking at the 8th Singapore Palliative Care Conference on Saturday, he added that to align this financial support to the subsidy framework for inpatient care at acute hospitals, the Government will ensure a minimum 50 per cent means-tested subsidy for palliative care, and up to the current maximum of 80 per cent. “With this change, almost all palliative care patients will see an increase in subsidies, by up to 55 percentage points,” he noted. “MediShield Life claim limits will be raised from $250 and $350 per day for general and specialised inpatient palliative care, respectively, to $460 and $500 per day. These limits will be sufficient to fully cover nine in 10 subsidised patients,” Mr Ong said. The lifetime MediSave limit of $2,500 will also be lifted for all home palliative care and day hospice patients using their own MediSave, regardless of their conditions. But the limit will remain for patients who tap MediSave accounts belonging to a family member, to preserve it for the latter’s own healthcare needs. Mr Ong added that the changes will help in bringing about smoother transitions – from acute hospital care to palliative care, and between palliative settings, “whether it is inpatient, day or home hospice”. “Compassionate discharges from hospital to home are critical moments, but they encounter barriers today. Many families are concerned about coping with care at home for a patient who is dying, and we need to address this,” he said. “We will therefore be doing more to smoothen the process, with timely access to affordable equipment, curated resources and training for caregivers, and respite care services,” he added. Sharing the story of his grandmother, Mr Ong said she was 80 when she was diagnosed with end-stage lung cancer. “Each time I visited her at the hospital, she would tell me she wanted to go home. She said that one night at the hospital felt like a month,” he added. “I had no doubt she would have wanted to go home, even if it was to pass on.” She died “surrounded by loved ones gathered around her hospital bed”. A 2014 Lien Foundation survey found that 77 per cent of Singaporeans wanted to die at home, but only 30 per cent did. The latter figure rose to 39 per cent in 2022. For those who want to die at home, Mr Ong said: “We are putting in place standardised checklists and resources so that caregivers know what to expect and are equipped with the necessary medications in various situations, and especially when their loved ones are in their final hours. It is quite common that they get sent back to the A&E (department).” The Ministry of Health (MOH) is also expanding the home-based respite care scheme, with hospitals now making direct referrals for those who are compassionately discharged home. “The turnaround time has come down quite significantly, and we are still monitoring the numbers,” Mr Ong noted. To complement the financing shifts for palliative care services, MOH will also enhance drug and vaccine subsidies for long-term medical care services, such as nursing home, home medical and palliative care. Currently, drug and vaccine subsidies are extended only to long-term medical care patients from lower- to middle-income households. Moving forward, Mr Ong assured that regardless of household income level, drug subsidies will be made available to all patients receiving palliative care from MOH-funded providers from the fourth quarter of 2024. “Singapore citizens will receive drug subsidies of at least 50 per cent, and permanent residents (PRs) will receive at least 25 per cent,” he said. Currently, those from higher-income households do not benefit from drug subsidies. All these financing changes will be implemented in phases from the first half of 2024, Mr Ong added. Palliative care providers will receive about $15 million more support a year – with this “plus the support of their donors, they will be able to expand their care capacity significantly”. The present estimated capacity of home palliative care is about 2,000 patients at any point in time. The three major providers – HCA, Assisi and Dover Park Hospice – are committed to increasing home palliative care capacity by about 40 per cent, or 800 places, by end-2025, and more over the following few years. With this growing capacity, Mr Ong said there is a need to recruit and train local and foreign staff. “Our nursing homes, home care and family doctors can and will need to play a larger role in caring for their patients approaching their end of life. We need to train them, and provide them with more support,” he added. “We will pilot new care models, for instance, having home medical and nursing providers care for their patients with complex chronic conditions and frailty, towards the end of life, with the support of specialised palliative care providers.” For manpower, he reiterated that apart from recruiting locally and overseas, granting PR status to foreign healthcare workers’ dependants is worth consideration. First drafted in 2011, the 2023 NSPC was reviewed in the past year, and the outcome will shape the future of palliative care in Singapore and ensure that it meets the rising needs of individuals facing serious illnesses as the country becomes a super-aged society by 2026. Chairman of the NSPC workgroup and co-chair of the Singapore Hospice Council (SHC) clinical services steering committee Angel Lee said: “The refreshed NSPC has to plug into the wider transformation in our local healthcare, to create collaborative service and financing models so that palliative care is accessible, of quality and supported by the whole community.” The outcome of the review was announced at the biennial four-day conference at the Sands Expo & Convention Centre, which has over 100 local and overseas speakers as well as more than 500 participants. https://www.straitstimes.com/singapore/more-financial-support-from-government-for-palliative-care-from-2024-ong-ye-kung

These days even little animals got to do a song and dance to get sales https://m.facebook.com/100069321672388/videos/狗狗在店裡3個月賣不出去-結果就這樣了怎麼辦/1184309919110449/

In the midst of all the negative news, this is one piece of beautiful news... literally https://www.channelnewsasia.com/news/singapore/covid-19-singapore-airlines-care-ambassadors-hospital-manpower-12608118 Oh my... Can you imagine... If I'm an inpatient and I'm expecting the rubbish food given to me, and along comes the Singapore Girl, and says: "Hello!" Today, we offer these uncooked toufu and eggs or the overfried chicken, served with plain water... Suddenly everything will taste better! Wooo... Or get them to teach you to wear a mask ... like putting on the life vest 🙂 Or better yet, teach HCW to wear the PPE... A patient's quarantine pr NCID stay just got sweeter... hmm.... 😉 Their roles can be extended.. As for social distancing... I can imagine even those old chaps at the hawker centre will obey them when they ask them too The only side effect? Well they might move further from others, but they might have trouble maintaining social distance from these lovely ladies... Brilliant idea...

Not bad hor? Got jet spray and vacuum.. https://m.imgur.com/Z4mQ7aL

Just asking, anyone been to polyclinic recently for chronic condition like diabetes, high cholesterol or high blood pressure and having CHAS card. If yes, are you being asked to see the care coordinator or care facilitators to consider follow up at some of their parther GP clinics? Those GP clinic under this collaboration, the charges will be reasonable. But that not my main concern for this thread. I just want to know the feedback of such care coordinator. Are they being pushy like keep asking you to go over. As my aunt encountered one. Aunt say NOT KEEN. But the care facilitator keep asking her to. I mean, this is the patient's choice isn't it. We are more comfortable and familiar with polyclinic. After speaking with some of my friends, we understand this is a ongoing things at most polyclinics. We won't mind to praise and compliment those care facilitators that are nice but Generally most should learnt how to accept NO for replies. Unless they are pushing the Patients out. Then they are no different from sale personnel. Just my two cents worth. To give this off my chest. Haha :-)

Eureka moment again... Let’s start from here, Ask her buy minced pork... come back with mee pok... I jitao peng san.. Must tell her chop chop pork...

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i am starting a new thread .... coz i dun think its related to the one about nursing home in JB. anyone got experience of putting their elders in local nursing homes ? can tell ? I need to understand more about this as this is on my consideration list.

anyone engaged respite care services for their family when they temporarily could not care for a member of their family ?

Always take care of your 1st wife! See the whole video then you will know. I have seen death almost 3x in my life and that's why, I always do what the thread said!

Hi, Am looking to buy car wash, caruba wax, sealant, leather care, rim cleaner, tyre cleaner and finally glass cleaner. Comparing prices from Giant online, ntuc online, autobac online and some online shops selling these products. Will be getting microfiber cloths too. Juz visited 2 auto shops at alexandra mkt area. Never ask price but their products are all very old. Anyone juz buy all those products off the shelves or go to any paricular shops in SG for better price? Brands considering, turtle, soft99, armourall, meguiar, sonax, etc. Waxco (malaysia brand, cheap but quality wise, whether on par with jap or us brands, i cant compare) any recommendations? Thanks.

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http://www.straitstimes.com/singapore/health/14-babies-in-kkhs-intensive-care-unit-contract-red-eye#xtor=CS1-10 This year like alot of problems with the govt restructured hospitals.

http://www.sparkcarcare.com/services/vehicle-grooming.html Anyone here can share the serives or the work done on their ride ? Seems quite good..

https://www.youtube.com/watch?v=KGn5DpbL1rs&feature=youtu.be https://www.youtube.com/watch?v=KGn5DpbL1rs&feature=youtu.be Jaywalking with the kid is already a bad example and while nothing dramatic happens to the kid, luck is not with her/him all the time. thank you for your attention.

Dear all, I happen to know this elderly, who stay at Whampoa those studio flat aka 1 room flat. Is there any society or charity group that I can refer the elderly to? Who wants to live independently. I don't think Whampoa has those emergency button like what redhill and queentown(if I am not wrong) nor people checking the status of these elderly. To be frank and upfront I am worried that even when he passes on nobody will know until the body rot and smell. Can anyone bros refer me society or organisation that is able to help this elderly. I am just seeing how I can help. Thank you for reading Rustyz

Was saddened to read about this early morning... He made some awesome riffs

Hi, Out of curiosity, can anyone share with me the operation of PI especially from the buyer's perspective? I have minimal knowledge how AD operates but none on PI. Generally, after a customer signed the contract and assuming it is 3 guaranteed COE bids, which translates to 1 & 1/2 wait for the new car. Next, they will send in the loan application(if applicable) and the results will be known within 3 days. I know they neither bid for the 1st nor 2nd round and will only act in the last bidding unless they already have Open Cat COE. Any particular reason? Do they need to send every JDM models to LTA for testing/inspection? I thought only those cars hovering 97kw need "dynamometer test"? Pls enlighten me? Pls share with me more details so that I can learn more. Thank you very much.

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Don't know if this have been posted before.... TO ALL FELLOW DRIVERS AND NON-DRIVERS (IN SINGAPORE) LTA has contracted six traffic wardens from a private company at $34,000 a year to take down the licence plate number, make and colour of vehicles that intrude into bus lanes at peak hours. They are incognito with camera in hands......so don't expect to see a TP, etc Note you can get fined $130 for dropping someone off at or near the bus stop. LTA has intensified their operations at the following areas: 1) Eunos Link 2) Hougang Ave 3 3) Jurong Town Hall Rd 4) Lorong Chuan 5) Orchard Rd 6) Upper Serangoon Rd 7) Upper Thomson Rd 8) Yishun Ave 2 Additional spots where speed traps were seen, 1) PIE towards airport near Toa Payoh exit, tripod mounted speed camera at the pedestrian overhead bridge. 90km/h 2) PIE towards jurong near adam road exit, tripod mounted speed camera over at Adam Road flyover 90km/h 3) Braddell Road after Bishan Junction towards CTE, tripod mounted speed camera at the pedestrain overhead bridge. 60/kmh 4) Queensway towards Bukit Merah, tripod mounted speed camera under tree before Ridout McDonalds. 60km/h 5) Spot along Upper Bukit Timah Rd towards Woodlands Rd, tripod mounted speed camera under tree after a curve turn - 60km/h. Fine imposed is $170 and 8 demerit points.

From Yahoo news: MSF, police investigate baby scalding incident at PAP childcare centre The Ministry of Social and Family development (MSF) and the police are investigating reports that a six-month-old baby suffered second-degree burns at the hands of a caregiver at a PAP Community Foundation (PCF) infant care centre. According to a Facebook user named Wendy Foo, the unnamed infant, a child of a friend of hers, was being looked after at the government-run Little Wings childcare centre in Boon Lay on Wednesday when his hands were scalded. Foo's account of the incident, in a post on her Facebook page, revealed that her friend was initially told by a caretaker at the centre over the phone that someone had spilled coffee onto his wrist by accident. It was accompanied by three pictures she posted of the baby's left wrist, perforated with bubbles, sagging skin and an angry red burn mark on the top side. "But my friend (said there) wasn't any coffee stain at all," Foo wrote. "So my friend insisted (to be given access to watch) their CCTV (footage), and the video show(ed) differently," she added, without elaborating on what her friend saw instead. In subsequent comments, she noted that the CCTV camera had only captured "half" of the area of the childcare centre, adding that her friend has withdrawn her baby from the programme. Foo also said her friend was told by a teacher at the centre that the person in charge was unable to travel there to speak to her because she stays "very far" away, adding that a complaint was lodged with the MSF. When contacted, a spokesperson for the Early Childhood Development Agency, a subsidiary of the MSF, confirmed it had been informed of the incident and is investigating. "The safety of our children is of utmost importance," the spokesperson told Yahoo Singapore on Thursday. "ECDA is investigating, and working closely with the centre to ensure that safety guidelines are adhered to." Local media reported also that the police have also been alerted to the incident and are investigating. Yahoo Singapore has also contacted the PCF for a statement. link: http://sg.news.yahoo.com/msf--police-investigate-baby-scalding-incident-at-pap-childcare-centre-035259766.html Look at the baby arm, sooooooooooooooo sad ...

Anyone has experience in using this. Any reviews on the ease of use and the scent? also where i can buy this? Thanks

spotted this accident this morinng, directly opp Thomson plaza.. reckon car skided..mount kerb and banged into a tree....saw the driver standing beside the polic car...drive with care please...esp raining day..

I find this experience from India both instructive and inspirational. After watching this, I found myself driven to brush my teeth at least 3x per day

Almost got hit by a van today when I'm cycling straigjt and already give my intention yet idiot decided to chiong and cut dangerously in front. Wait 30 more seconds for me to pass also cannot, what an arse.... :angry: