Eastern Health Alliance

A community-based chronic disease prevention programme offered in partnership with grassroots organisations.[8][9] The programme included health screenings, health coaching and healthy lifestyle activities, which aim to intervene early to delay the onset of chronic diseases such as diabetes, high blood pressure and high cholesterol.[10]

The Health Management Unit is set up to assist patients who need help to manage their long-term conditions.[11] These patients received advice from nurse tele-carers on medication, diet and lifestyle, how to monitor their condition and look out for signs of deterioration, helping them stay healthy for as long as possible.[12] Those who needed more help would receive further guidance and support in between medical visits.[13]

The Community Health Centre support general practitioners by providing services for patients with long-term conditions. Services included eye screening, foot screening, health monitoring and education about diet, lifestyle and medication.[14] The first centre, located in Tampines, was helmed by senior nurses and allied health professionals with experience in caring for patients with chronic conditions.[15]

The positioning of St. Andrew's Community Hospital (SACH) right next to Changi General Hospital (CGH) enabled a transfer of care for more than 4,000 patients since 2005. Patients who no longer require acute care were transferred to SACH for rehabilitation and continuing medical care. SACH and CGH are connected by a covered link bridge. This close proximity helps facilitate better coordinated and integrated care for SACH patients through the sharing of medical records and clinical support services, and consultations by visiting CGH specialists.

Transitional Care helps to bridge the gap between hospital and home for patients with complex or multiple care needs.[16] It aimed to stabilise, rehabilitate, and help patients and their caregivers cope with care at home.[16] It also aimed to reduce unnecessary re-admissions to the hospital. The Transitional Care team comprised doctors, nurses, therapists, dietitians, pharmacists and medical social workers.[17]

A facility set up in The Salvation Army Peacehaven Nursing Home to provide rehabilitation services for patients with long-term debilitating conditions, and training for caregivers.[18] Medical and nursing services, as well as lifestyle activities are provided.[18] The aim was for patients to be fit enough to return home and integrate back into the community.[17]

St. Andrew's Community Hospital's Home Care Service attended to the nursing needs of patients residing in the east.[19] These patients were discharged from acute care hospitals or community hospitals and usually have medical histories of strokes, fractures and multiple diseases.[19] Common nursing care provided to them included changing their urinary catheters; nasalgastric tubes for feeding, wound care, dressings, and removal of stitches after a surgery.[20]