Chee Hong Tat
Singapore
“The National Parks Board (NParks) resumed crow shooting operations in March 2026 across nine districts, including Yishun. These sites were prioritised based on several factors, including the volume and severity of public feedback on crow-related issues, as well as the technical feasibility of conducting shooting operations safely at each…”
“To drive sustainable construction and reduce reliance on conventional diesel generators, the Housing and Development Board (HDB) has required the use of battery energy storage systems (BESS) or synchronised generator set systems at Build-to-Order construction worksites for all building tenders called since February 2025.”
“The Housing and Development Board (HDB) tracks resident feedback on maintenance-related issues, including spalling concrete and structural cracks within HDB flats. Such issues are much less common in younger flats, compared to older flats above 30 years old.”
“The Building and Construction Authority (BCA) provides resources on its website to guide building owners and Management Corporations Strata Title (MCSTs) on lift modernisation.”
“Private retail developments sold through the Government Land Sales Programme are intended to complement the commercial offerings in public developments undertaken by agencies, such as the Housing and Development Board.”
“The National Parks Board (NParks) is reviewing both the Animals and Birds Act and the Code of Animal Welfare (COAW). The former will include pet sector businesses and the latter will include and start with pet groomers.”
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“Parliamentary highlights are loaded onto this microsite within three hours of broadcast. Videos of all speeches and footage from Question Time are uploaded by the following morning. If you go to the site, you will see that the videos are sorted by date and name of the Member of Parliament. The video clips are easily accessible by the public and are organised for convenient viewing. The online archival period for these videos has also been lengthened since 2013. It used to be one month; now it is six months. In addition, the public has access to the full written record of Parliamentary proceedings via the online Hansard. Singaporeans who are interested in watching the proceedings can also attend any Parliamentary Sitting in person, watch the news on TV that evening, or view the complete set of video clips from the CNA microsite using their computers and mobile devices the next morning. Based on data collected, the viewership of "live" broadcasts remains low. Even for a major speech like the Budget Statement, the number of people who watched it "live" is less than 10% of those who watched the Parliamentary highlights on the news that evening. And less than 1% of all viewers watched the Budget Statement "live" using web-streaming, and this is the Budget Statement − it is a major speech. The experiences in other countries show that there are pros and cons to having "live" broadcasts of parliament proceedings. Observers have noted that one downside is the risk of members of parliament playing to the gallery in the presence of live cameras, which would affect the work of parliament. Sir, we have many convenient channels by which the public can have access to Parliamentary proceedings.”
“The winners come from different backgrounds but they share a common passion for filmmaking. Through this co-creation initiative, we hope to encourage greater involvement from the community and bring fresh perspectives on complex social issues. The four teams are currently developing their story ideas into short films, which will be ready next month. Mr Darryl David asked if we plan to continue with our public communications efforts in vernacular languages, including the use of dialect, to communicate with seniors and help them understand Government policies and programmes. We will do so. MCI has produced dialect programmes together with Mediacorp and industry partners like Jack Neo and Royston Tan. These programmes communicate useful information to seniors through an entertaining format and using a language which they are familiar with. To reinforce the messages, we also engage our seniors through roadshows in our HDB heartlands and through key touchpoints like the Pioneer Generation Ambassador network. Many seniors, including my residents, have told me that they enjoyed these shows and found them informative and entertaining. I am pleased to inform Mr Darryl David that we will continue with these programmes to enhance Government communications, and we are also developing similar content in Malay and Tamil. Sir, Mr Pritam Singh asked about "live" streaming of Parliament proceedings. Over the years, MCI has worked with Mediacorp to enhance the coverage of Parliamentary proceedings. Today, key Parliament sessions, such as the Budget Statement and the Opening of Parliament, are broadcast "live" on both TV and online. Footage of all Parliament speeches and Question and Answer sessions are already available online on CNA's Parliament microsite.”
“This result is commendable, especially in a challenging period when many overseas newspapers are seeing declining readership. Sir, Mr Vikram Nair asked about how MCI is leading Government communications efforts to reach out to all Singaporeans. Measuring and analysing data give a better feel of the concerns and sentiments of Singaporeans. This helps us to address information gaps, respond more quickly and customise more impactful messages. MCI will enhance our data analytics and research capabilities, which will help to support whole-of-Government communications efforts. I agree with Ms Kuik Shiao-Yin that the Government must engage widely and meaningfully. Progress has been made over the years, including use of face-to-face sessions, to engage in deep conversations and candid discussions with different groups of Singaporeans. MCI is a strong supporter of public engagement, an important area driven by the Ministry of Culture, Community and Youth. For example, REACH has worked with other Government agencies and partners to increase its number of outreach sessions which include dialogues, focus group discussions and also listening points. We welcome suggestions on how we can further improve. Effective listening and engagement are an important part of effective communications. We are also collaborating with partners to produce innovative content that can connect with Singaporeans, both intellectually and emotionally. For example, MCI has started a crowdsourcing initiative called Project Lapis Sagu, a film contest that invited the public to submit story ideas on fostering awareness and understanding on social integration. With support from four well-known local film directors − Eric Khoo, Kelvin Tong, K Rajagopal and Sanif Olek − we received more than 1,200 entries.”
“The scheme is now in its fifth year, and our partnership with platforms like Starhub has produced good programmes, such as "Echoes of Time", a historical drama series by Ochre Pictures. It received a nomination for Best Production Design and Art Direction at the 2016 New York Festivals. Another initiative is Singapore Press Holdings' (SPHs') partnership with IMDA to produce and distribute short-form digital video content. The aim is to connect younger Singaporeans with digital PSB content and encourage a greater appreciation for our local productions. I viewed the recent video produced by Zaobao on the world's languages and must say they did a good job. 继 续 加 油！ I agree with Mr Zaqy Mohamad that high-quality journalism is an important public good which we must continue to support and preserve in Singapore. Like Mediacorp, SPH is keenly aware of the need to engage the digital generation, and they are actively reinventing themselves to better serve their readers. I met the online teams from The Straits Times and Lianhe Zaobao. They are doing good work in producing interesting digital content, trying out new ideas and fresh approaches. Sir, I would like to share that based on IMDA's 2015 Media Consumer Experience Study, the newspapers' ranking has improved from sixth place in 2014 to first place in 2015 and 78.9% of respondents were satisfied with the newspapers' content, up from 74.8% in 2014. So, this is a good sign. We have to continue to work at it, but it is good sign, it is an encouraging sign that people find newspapers' content in Singapore to be satisfactory and their ranking has improved. From 2015 to 2016, SPH achieved a 2.8% increase in its average daily circulation for both print and digital editions combined.”
“Because I agree with her, it is very important to provide good-quality programmes for our children. Sir, the third thing we would do is to continue to support Mediacorp's efforts to build its capabilities in producing good-quality programmes for both TV and digital channels. This includes enhancing training in core skills, such as commissioning, directing, storytelling and content production. To invest for the future, IMDA will partner Mediacorp to build a pipeline of young creative talent for the media industry. Through new scholarship and apprenticeship programmes, as well as collaborations with schools, we want to discover our young talent and then groom them early in media and content production. This includes a programme to develop young producers to create content targeted at youths. So, content produced by young people for young people. Mr Darryl David asked how the local media industry has benefited from increased Government support for PSB. Through PSB, Mediacorp outsources a portion of its programmes to independent production houses. Starting from this year, Mediacorp will enhance its collaboration with industry players by increasing the amount of outsourcing. It will also explore more co-production opportunities, a point mentioned by Mr Ganesh Rajaram. I will certainly discuss with Mediacorp to see how we can do this better − it is a win-win partnership − so that it benefits Mediacorp and it benefits our film industry, our media industry. Ultimately, what we want is to have a win-win arrangement to bring quality local content to our viewers. 6.30 pm I also encourage all industry players to tap on the PSB Contestable Funds Scheme to create quality PSB content.”
“We will support Mediacorp to boost its Toggle offerings. This year, Mediacorp will roll out an even bigger slate of Toggle Originals. These will involve collaboration with independent producers and tertiary institutions and cover a diverse spectrum of genres to offer more content choices. For better user experience, Toggle will also enhance its streaming reliability, navigation, content recommendation and personalisation features. I was glad to hear Mr Vikram Nair spoke earlier about watching his favourite shows on Toggle, and we will certainly look into his suggestion for Mediacorp to add subtitles so that the shows can be enjoyed by more people. Even as Mediacorp strengthens its digital channels, FTA TV channels remain important for many viewers. FTA channels are collectively still the most popular destination for Singaporeans when it comes to media consumption. Good content developed for Toggle can then be re-telecast on FTA TV, so that TV audiences can also enjoy them. I am pleased to inform Mr Zaqy Mohamad that Mediacorp will reposition Okto as a children and sports channel. Last month, our first local bilingual TV series for preschoolers "Junction Tree" was shown on Okto. This series is supported by IMDA and the Lee Kuan Yew Fund for Bilingualism. Mediacorp has also started featuring sports programmes, including programmes that encourage young Singaporeans to take an interest in sports and lead active lifestyles. One example is Okto Cup, a futsal tournament for kids. Sir, I remember at last year's COS, Ms Kuik Shiao-Yin also raised this point about children's programmes. I want to thank her and acknowledge her suggestion and we have discussed with Mediacorp how best we can focus on this area.”
“He is a script writer for many of the popular Channel 8 dramas − "Hero", "Yao Yao Ba" that I have mentioned earlier, and previously "The Little Nonya". And what Mr Ang shared when he was interviewed by the Straits Times was that the challenge to get eyeballs for local TV will increase, but he said, "If we continue to tell Singaporean stories, there will be something here for Singaporeans to watch". I fully agree with Mr Ang. Locally-produced PSB programmes can best capture and convey our unique Singaporean flavour. But we cannot match the budgets of Hollywood productions or Korean dramas, so we must compete differently by engaging our viewers through quality local content. To keep PSB content offerings relevant and fresh, IMDA and Mediacorp will establish a Content Development Fund to encourage more experimentation with new content formats, including the use of new technologies like augmented reality (AR) and virtual reality (VR). Next, on channels. We all know digital is the new frontier, especially so for younger viewers. Mediacorp has been moving towards a stronger digital focus over the past few years. It will invest in further improving Toggle as its online platform so that we can watch our favourite local programmes anytime, anywhere and on any device, from mobile phones to large-screen high-definition TVs (HDTVs). Toggle has seen a three-fold increase in unique viewers since its relaunch in April 2015. I must say this is an encouraging improvement, considering the intense competition for eyeballs. This growth is helped by the first slate of Toggle Original series which was well-received. So, it goes back to what we discussed earlier, that content is, ultimately, the most important thing. Good-quality local content is what I think will help to drive viewership.”
“Dramas, such as "Tanglin", which Mr Ganesh Rajaram mentioned. On Channel 8, we have this very popular Mandarin programme called "Yao yaoba", which means "118". We also have "Aduh! Bibikku!" and "Vetri" on Suria and Vasantham. These are very popular programmes that continue to drive primetime viewership on our FTA channels. Other genres, such as documentaries, current affairs programmes, have also been well-received. One example is the excellent documentary on nursing produced by Channel 8's Tuesday Report. I attended the preview and met the nurses and their families, and the viewers who have watched the episodes found them to be very meaningful and admirable. As several Members have highlighted, the media landscape is becoming increasingly challenging. Changes are happening very quickly and we cannot stand still. Apart from Netflix, Amazon Prime and Viu, recently I read that YouTube will be launching a new streaming television service called YouTube TV. So, there is a lot of competition. The selection of over-the-top content is growing rapidly, but consumers' time and attention are limited. Even premium content on Pay TV channels no longer holds the same draw. This has caused TV advertising revenues to decline but at a time when more investments are actually needed to build capabilities in content production and online technology. Mr Vikram Nair and Mr Zaqy Mohamad asked about Mediacorp's plans to better position itself for the future. At last year's COS, I spoke about transforming PSB by focusing on 3Cs − Content, Channels and Capabilities. These remain our focus in bringing quality local programmes to all Singaporeans. First, on content. I recently read a Straits Times interview of Mediacorp's award-winning scriptwriter, Mr Ang Eng Tee.”
“In partnership with the Singapore Mediation Centre, IMDA will also provide subsidised mediation services to help resolve disputes between media companies and freelancers on contractual matters, including late payment and, sometimes, non-payment. These moves aim to encourage better work relationships between media companies and freelancers, and I share Mr Ganesh Rajaram's hope that freelancers will proactively leverage on these available initiatives to help them. I also urge freelancers to focus on their career development and retirement adequacy, including contributing regularly to their CPF and MediSave accounts. These are important for their longer-term retirement adequacy. The fourth thrust is to partner key industry players and industry associations to develop our media professionals and propagate good practices. This includes media companies which receive Government funding, as well as production houses which work with Mediacorp on PSB programmes. We will start by requiring media companies to adopt the above-mentioned good industry practices if they want to qualify for Government grants and PSB funding. IMDA will take action against companies that wrongfully delay or withhold payment to their staff and freelancers. We will monitor the effectiveness of these measures and will consider introducing new measures, if necessary, to ensure that media sector employees and freelancers are fairly treated. Sir, I will next touch on how we are producing quality local content for Singaporeans through PSB programmes. I agree with Mr Zaqy Mohamad and Mr Darryl David that PSB is important for our national development, and it needs to stay relevant in the digital age. Through PSB, we have supported media companies to produce local programmes that entertain and engage Singaporeans.”
“One initiative is IMDA's Story Lab, which brings people together to incubate ideas and explore innovative ways to tell interesting stories. We also want to equip media professionals with skills to benefit from the latest technologies and platforms, including the facilities at Pixel Studios, which has been purpose-built for online content creators. Second, we will enhance the media industry's attractiveness by developing a skills framework for media professionals. IMDA and SkillsFuture Singapore will jointly develop this framework as a common reference for jobseekers, media professionals and employers. It will contain information on current and emerging skills for different occupational levels, as well as career progression pathways for different media-related jobs. Employers can use this framework to design talent development plans to attract and retain talent for their companies. Sir, there are many freelancers in the media sector. Hence, our third focus is to provide better support for media freelancers, in line with the Ministry of Manpower's (MOM's) broader efforts to encourage fair and progressive workplaces. Let me briefly mention some of the ongoing initiatives. First, IMDA and NTUC are developing a tripartite standard by this year for the procurement of services from media freelancers. This is done in consultation with media companies and freelancers and it will provide a list of good employment practices, such as having written contracts that clearly spell out payment terms, intellectual property rights and how to handle disputes, if they should arise.”
“We will continue to study ways to boost the market for film investments, including tapping on new funding models and growing the demand for quality local content. IMDA's support for the local film community through grants, scholarships, these efforts have produced some encouraging results. For example, IMDA has embarked on a partnership with a local online film platform, Vidsee, to create a Singapore film channel. Today, the channel showcases a collection of short films produced by promising local filmmakers like Kirsten Tan and K Rajagopal. These are some examples of the industry development initiatives by IMDA to help our local filmmakers create compelling Singapore stories and bring their films overseas to an even wider audience. Sir, talent attraction and development are key success factors for all sectors but, in particular, for creative and knowledge-based sectors like infocomm and media. IMDA's Talent Assistance scheme has groomed media professionals and helped deepen their capabilities. One example is Mr Billy Yong. He is a freelance animator who attended two overseas training courses with funding support from IMDA. The training has enabled Billy to enhance his proficiency in storytelling and animation and helped him to secure more projects. Our growing media industry will create many jobs that require a diverse range of skills, including the use of media tools, to achieve business outcomes. Mr Saktiandi Supaat asked how we plan to develop a future-ready media workforce. Minister Yaacob had earlier announced a Media Manpower Plan with four key thrusts. Let me elaborate. First, our media workforce must deepen core skills to remain competitive. We need to strengthen content creation and the ability to tell original, compelling stories.”
“This is an incubation programme by Mediacorp that supports media startups through seed funding, mentoring, networking and marketing opportunities through Mediacorp's platforms. Several of these startups are already partnering business units in Mediacorp to develop interesting concepts. What IMDA does is to support this initiative and also bring in what we call the Accreditation Scheme to complement Mediapreneur's efforts to provide tailored assistance to these startups in areas, such as product testing and financial modelling. I met some of the startups and their founders when I visited Mediapreneur. These are passionate individuals. They feel strongly about their ideas and they appreciate the support from IMDA and Mediacorp. I look forward to seeing some of their ideas being adopted by our media companies, whether it is Mediacorp or other media companies, to produce entertaining content and to raise the level of enjoyment for our viewers. 6.15 pm Mr Leon Perera asked if IMDA is exploring ways to promote private sector funding of local films. IMDA has been studying different ideas, including the ones mentioned by Mr Perera, and has been discussing with industry players to see which ideas are more feasible and more impactful to help them to grow their business and also to produce quality content. IMDA's Production Assistance Grant is one such scheme. It is a co-funding scheme which supports up to 40% of a project's qualifying expenses and this helps our media companies. It also encourages private sector funding. And because 100% of the equity goes to the media company, it is fully incentivised to commercialise the film, including taking it overseas.”
“Mdm Chairman, MCI will develop the Infocomm and Media sectors to be key enablers and engines of growth to nurture competitive companies and create good jobs for Singaporeans. I agree with Mr Ganesh Rajaram on the importance of partnerships in industry development. Our strategy to attract global media companies has provided opportunities for local media companies and Singaporeans to participate in flagship projects and international co-productions, which can then be enjoyed by consumers in Singapore and also around the world. For example, a team of Singaporeans from Industry Light and Magic (ILM) − this is the visual effects studio arm of Lucasfilm − created ground-breaking animation and visual effects for the blockbuster film "Star Wars: The Force Awakens". [Deputy Speaker (Mr Lim Biow Chuan) in the Chair] Our local production houses have also been working with international broadcasters, such as Discovery, National Geographic and Home Box Office (HBO) Asia, to produce original content for broadcast across Asia. HBO Asia's latest original comedy series called "Sent" is the first series where a local media company, Very Tay, has worked hand in hand with HBO Asia through the entire process from development, writing to production. When I visited HBO Asia and they showed me and told me about this collaboration, I was very encouraged because it has provided opportunities for Singaporeans and our companies to be able to work hand in hand with an international company to produce something that can be enjoyed in Singapore and also exported to other markets. Sir, MCI will continue to develop a business-friendly and pro-growth environment for Singapore media companies to innovate and experiment with new ideas. One such useful initiative is Mediapreneur.”
“I think that question is not part of the original question, so if the Member would like more information, he can file a separate Parliamentary Question.”
“Mdm Speaker, this goes back to when the LTVP-Plus scheme was introduced and the policy intent was to have two categories of LTVP holders − one is LTVP, the other one is LTVP-Plus. Between the two categories, there will be a differentiation in terms of the benefits for these two groups. Similar to how we differentiate the benefits for citizens, PRs, LTVP-Plus and LTVP. I think that is the policy decision to have these different categories of LTVP holders and the healthcare subsidy is part of this differentiation. Therefore, it is extended to LTVP-Plus holders but not to LTVP holders.”
“Mdm Speaker, I think I have explained this in my reply, that we provide subsidies to LTVP-Plus holders for inpatient services that are pegged at the same level as PRs. Foreign spouses of Singaporeans can be given LTVP or LTVP-Plus. So, there is a differentiation in terms of the benefits of these two categories, including subsidies for healthcare services.”
“Mdm Speaker, Singapore Citizens and Permanent Residents (PRs) receive Government subsidies at public healthcare institutions, with citizens receiving a higher level of subsidies. This is in line with the broader Government policy of differentiating benefits by citizenship status. Patients are extended subsidies based on their own citizenship status, and not that of their spouses. This is the general principle which applies to different types of Government subsidies, including for healthcare services. To support Singaporeans with foreign spouses who have not obtained permanent residence or citizenship, the Government decided in 2012, to extend healthcare subsidies for inpatient services to foreign spouses who are LTVP-Plus holders. They are given the same level of subsidies for inpatient services as PRs. Mdm Speaker, we need to be mindful that the cost of extending Government subsidies to LTVP holders will ultimately be borne by all Singaporeans. Any proposal to further extend more Government subsidies to foreigners, who are neither PRs nor LTVP-Plus holders, would need to be carefully considered.”
“Mdm Speaker, I thank Mr Png for his supplementary question. As Mr Png is aware, MediShield Life started in November last year. So, this is the first year that we are administering MediShield Life. We will keep track of the numbers. Importantly, the efforts to reach out to remind and help Singaporeans pay for their premiums will be a continuous one that we will work together with the Central Provident Fund Board and other Government agencies on, and to help low-income Singaporeans who require financial assistance to also benefit from MediShield Life through Additional Premium Support. In this way, we have a good universal medical insurance scheme that is for all and for life. 1.30 pm”
“Mdm Speaker, as of September 2016, around 51,000 residents have outstanding premiums due, or about 1% of total members. This includes Singaporeans living overseas and those who cannot be contacted. The total amount outstanding is $12.8 million, or less than 1% of total premiums due. We are reaching out to remind Singaporeans and help them with their MediShield Life premiums. The Government has provided subsidies to help Singaporeans pay for their MediShield Life premiums. These include transition subsidies, means-tested subsidies for lower- and middle-income households, as well as additional subsidies for the Pioneer Generation. Low-income Singaporeans who require financial assistance can apply for Additional Premium Support.”
“Madam, I thank the Member for his supplementary questions. As explained in my answer, right-siting is an important priority for our healthcare system, because we do want to make sure that patients receive appropriate care at the appropriate location that is most suitable for their medical condition. So, if the patient requires inpatient services, then he or she rightly should be hospitalised. But if the patient does not require that, then outpatient treatment would be more appropriate. We do need to look at our financing scheme – how the incentives are being set to ensure that we are able to support right-siting, which is a key part of ensuring a more sustainable healthcare system. For the low-income families that Mr Ong Teng Koon spoke about, the best way to help them is really to make sure that there is a safety net, and this is what we provide through MediFund. So, for low-income families, after the Government subsidy has been applied, and after MediShield Life and their own MediSave, if that is still not enough and they need further assistance, they can apply for MediFund through the medical social workers. That is something that we have at the hospitals and polyclinics, whether it is for inpatient or for outpatient treatment.”
“It is important to bear in mind that expansions in MediShield Life coverage will lead to higher premiums for all policyholders. And with an ageing population, we need to carefully consider the trade-offs to ensure that the schemes remain affordable and sustainable.”
“Mdm Speaker, right-siting and providing appropriate care are important priorities for the healthcare system to deliver value for our patients and ensure longer-term sustainability. These include initiatives to focus on health promotion and disease prevention, as well as efforts to improve productivity and develop our primary care and intermediate and long-term care facilities in the community. Over the past few years, the Ministry of Health (MOH) has enhanced Government subsidies for outpatient services and drugs. Patients can receive up to 70% subsidy at Specialist Outpatient Clinics (SOCs) and up to 75% subsidy for drugs and medication. Additional support is provided for Pioneer Generation (PG) patients who receive a further 50% off their subsidised outpatient bills. We have also expanded MediSave use for outpatient treatments, including outpatient scans and chronic disease treatment. Singaporeans who are 65 years and above also have the flexibility to use up to $200 of MediSave every year to pay for their outpatient treatments at public healthcare institutions and participating Community Health Assist Scheme (CHAS) and general practitioner clinics. MediShield Life currently covers a number of costly outpatient treatments, such as kidney dialysis and chemotherapy treatment for cancer. Day surgery is also covered by MediShield Life and MediSave. Beyond Government subsidies, MediShield Life and MediSave, MediFund assistance is also available for low-income Singaporeans who require further financial support to pay for their outpatient bills. MOH will regularly review the scope of MediShield Life's coverage, but the focus should remain on protecting Singaporeans against large hospital bills.”
“Beyond Government subsidies, MediSave and MediShield Life, low-income Singaporeans who require further financial support can approach medical social workers at our public healthcare institutions to apply for MediFund. Together, these schemes ensure that Singaporeans from all socio-economic backgrounds will have access to essential medical care when they fall ill.”
“Mdm Speaker, Singaporeans enjoy subsidies of up to 70% for outpatient medical services and diagnostics at Specialist Outpatient Clinics (SOCs) and up to 75% at polyclinics. Pioneers enjoy a further 50% off the subsidised bill. These subsidies apply to outpatient diagnostic services needed for treatment, including magnetic resonance imaging (MRIs), computed tomography (CT) scans and blood tests. With Government subsidies, the cost of these treatments is typically lower than "thousands of dollars". Based on 2015 data, the median post-subsidy bill size for MRI was $260 while the 90th percentile bill size was $560. So, the median was $260; the 90th percentile bill size was $560. For CT scans, the median and 90th percentile post-subsidy bill sizes were $140 and $440 respectively. Besides Government subsidies, Singaporeans can use MediSave for outpatient scans, with a withdrawal limit of $300 per year for non-cancer scans and $600 per year for cancer scans. In 2015, more than eight in 10 patients who used MediSave for outpatient scans did not fully utilise their withdrawal limits. Elderly Singaporeans who are 65 years old and above also have the flexibility to use up to $200 of MediSave every year to pay for their outpatient treatments at public healthcare institutions and participating Community Health Assist Scheme general practitioner clinics. This $200 is on top of the MediSave limits for non-cancer scans and cancer scans. In addition, MediShield Life provides coverage for outpatient chemotherapy, radiotherapy and renal dialysis, which are more expensive. For example, Singaporeans can claim up to $3,000 of MediShield Life, and withdraw up to $1,200 MediSave per month for their chemotherapy treatment, including diagnostic scans and investigations.”
“Mdm Speaker, I thank the Member for his supplementary questions and the clarification as well. First, as I explained in my answer, we need to regulate such fee arrangements to protect the well-being of patients and to prevent conflict of interest. We do not want the TPAs to end up driving up healthcare costs and affecting patient care. These are the primary considerations for MOH and SMC when the SMC issues its guidelines. On the breach of disclosure requirements, I do not think there is currently a breach because the requirements have not taken effect. After the requirements have taken effect, we would certainly monitor the compliance and make sure that TPAs which have such arrangements, and doctors who are in such arrangements with TPAs, the information would be disclosed appropriately to patients.”
“Can I clarify the last point? Any breach of disclosure requirements by MOH?”
“MOH is assessing if these disclosure requirements should be further reinforced through our regulations. We are also working with LIA and the Integrated Shield Plan (IP) insurers to ensure that their appointed TPAs do not have any conflict of interest. In addition, the insurers should disclose to their policyholders any financial arrangements they have with the doctors. MOH will monitor the situation and, where necessary, we will not hesitate to take further steps to protect the interests and well-being of patients and safeguard the integrity of our healthcare system.”
“Mdm Speaker, the Ministry of Health (MOH) had earlier received feedback from medical professionals on their concerns with the charging practices adopted by some Third Party Administrator (TPA) companies. In doing the review, MOH has consulted professional bodies, such as the Singapore Medical Council (SMC), the Singapore Medical Association, the Academy of Medicine Singapore and the College of Family Physicians Singapore, as well as industry associations like the Life Insurance Association (LIA). There is agreement amongst stakeholders that the charging practices must not compromise patient safety and well-being and should not lead to escalation of healthcare costs. Managed care companies (MCCs) and TPAs provide a wide range of intermediary services, including management of employer medical benefits and claims administration. Those that provide healthcare services directly to patients will be regulated under the Private Hospitals and Medical Clinics Act (PHMCA). To provide clarity on how doctors should engage MCCs and TPAs, the SMC has recently revised its Ethical Code and Ethical Guidelines (ECEG) to state that doctors must not allow financial arrangements to lead to any compromise in the care of patients. Any charges which doctors pay to MCCs or TPAs should be commensurate with the actual administrative work done by these intermediaries in processing the cases, and not based primarily on the fees charged to patients. The revised guidelines will take effect from 1 January 2017. To enhance transparency of TPA fee arrangements, the revised ECEG indicates that doctors should disclose any such arrangement and referral fees to their patients, if these fees are passed on to the patients.”
“Mdm Speaker, I thank the Member for his supplementary questions. On his first question, we have travellers from all over the world. With the Rio Olympics, because Brazil is one of the affected countries, there will be people who will be travelling to Brazil and then, subsequently, travelling to Singapore. This is not confined to our athletes. It is also people who attend the Olympics in Brazil. With regard to our athletes, we have been in touch with the Singapore National Olympic Council and Sport Singapore to provide advisories to our athletes and officials. For example, when they are in Brazil, to protect themselves against mosquito bites, they should be wearing clothing that will cover the body, arms and legs. They should apply insect repellent and also take precautions to sleep in air-conditioned rooms or under mosquito nets to keep out the mosquitoes. And, very importantly, also to monitor for symptoms. I have mentioned earlier fever, rash, muscle ache, red eyes and headache. This should be done while they are in Brazil but also 14 days after they leave the country. These advisories that we provide are not just for the athletes and officials but all travellers who are visiting countries experiencing Zika outbreaks. The second question that the Member asked is with regard to regional cooperation. Indeed, whether it is a Zika infection or any other outbreak, because of the global nature of the spread of such diseases, it is essential for us to work closely with WHO and also with our regional counterparts. Zika, for example, is already found in our neighbouring countries and we have to take steps to work together to monitor and also to coordinate our responses.”
“Mdm Speaker, the first imported case of Zika virus infection in Singapore happened in May this year. The patient had travelled to Sao Paulo, Brazil from late March to early May 2016. Before this, MOH had started issuing advisories to travellers to and from Zika-affected countries on how they could protect themselves against mosquito bites, which are the main mode of transmission. We advised travellers who have returned to Singapore from affected areas to monitor their health and consult a doctor if they have symptoms of Zika, such as fever, skin rashes, joint and muscle pains, headaches and red eyes. MOH also informed hospitals and doctors about the notification, testing and clinical management for suspected Zika cases. In addition, MOH advised pregnant women to postpone non-essential travel to countries with ongoing Zika outbreaks. If they have to travel to these areas, they should take strict precautions to protect themselves against mosquito bites. As part of our on-going efforts to prevent and manage infectious disease outbreaks, MOH works closely with other Government agencies, such as MHA, ICA and CAAS, as part of the Homefront Crisis Management System. This approach has been effective in dealing with previous global outbreaks, such as the 2014 Ebola outbreak in West Africa and the 2015 MERS outbreak in the Middle East and the Republic of Korea.”
“Mdm Speaker, I thank the Member for her question. The collaboration with Raffles Hospital started since 2015. And during the first few months of the collaboration, there were some teething issues, including how to work with the SCDF paramedics so that they know how and where to send the patients to. But since then, the arrangement has worked out well. We have got good feedback from patients on their experiences at Raffles Hospital. This is feedback that we collected through surveys. The arrangements with Raffles Hospital can also give us some good learning points that we can extend to other partnerships between public and private hospitals. And I think we can look at some of the suggestions that the Member has brought up, with the intent of seeing how we can work in collaboration with the private sector to provide good quality subsidised care for Singaporeans. 3.00 pm”
“One example is the collaboration between TTSH and Ren Ci Community Hospital (RCCH) to jointly develop clinical governance standards, care pathways, manpower capacity and capability to facilitate the transfer of patients between the institutions. For long-term care, MOH has been working with the private sector to increase capacity to meet the needs of our ageing population. We have a portable subsidy scheme with up to 75% subsidy at participating private nursing homes. We work with private and VWO operators to operate aged care facilities, such as nursing homes and eldercare centres. We are also partnering VWO operators to enhance palliative care services. For example, we are providing funding support for the development of the new Assisi Hospice, which is expected to be completed by the end of this year. And as part of this development, we are working with Assisi Hospice to expand its capacity for its inpatient, home and day hospice services so that more end-of-life patients can benefit. As part of our healthcare transformation plans, MOH will continue to explore opportunities to work together with the private sector to provide quality subsidised care for Singaporeans.”
“Mdm Speaker, the Ministry of Health (MOH) recognises the private sector's role in meeting national healthcare needs. We have forged closer collaboration between the public and private sectors in recent years. In primary care, MOH introduced the Community Health Assist Scheme (CHAS) in 2012 to strengthen our partnerships with general practitioners (GPs) and dental clinics in providing subsidised primary care for Pioneers and about half of Singaporean households. We now have about 900 GP clinics and 650 dental clinics participating in CHAS. Last year, 650,000 Singaporeans benefited from CHAS subsidies at these clinics. Under CHAS, our Regional Health Systems are working with the private sector to set up Family Medicine Clinics, which focus on chronic disease management. Our GP partners have also stepped up their effort in times of need. More than 600 clinics supported the rollout of the Haze Subsidy Scheme when Singapore was faced with severe haze in 2013 and 2015. For hospital care, MOH has worked with the private sector to provide subsidised care to our patients. One example is the Emergency Care Collaboration with Raffles Hospital since 2015. Patients can be sent to Raffles Hospital for emergency care, followed by inpatient or specialist outpatient care if required. Charges for Singapore Citizens and Permanent Residents are similar to what they would pay at our public hospitals. Another example is the collaboration with Parkway Hospitals to receive dengue patients from Changi General Hospital and Tan Tock Seng Hospital (TTSH). For intermediate residential care, our acute hospitals have been in close collaboration with our Community Hospitals run by voluntary welfare organisations (VWOs) on several fronts.”
“Mdm Speaker, I thank the Member for his supplementary questions. Today, Government subsidies for hospice care, both inpatient hospice care as well as home hospice care, are extended up to the 67th percentile. In addition to Government subsidies, the other important source of support for our patients would be charity dollars. This is an area where we work closely with voluntary welfare organisations (VWOs) and charities, and they bring more than financial support. They also bring care and concern, and service from the heart, which is very important for end-of-life care. The point about IPs and riders, we do have riders that are available, as I explained in my answer. The important point is that this is something which we will have to regularly review. We just started MediShield Life from 1 November last year. It is important for us to focus the scheme on the original intent in which it was set up to do, which is to cover large hospital bills. This is something we can review on an ongoing basis to make sure that MediShield Life is able to meet the needs of Singaporeans.”
“Mdm Speaker, hospice care, or end-of-life care, is available in an inpatient hospice or in the home setting. Together with MediShield Life, the Integrated Shield Plans (IPs) are designed mainly to cover large hospital bills. Hospice care is covered under some riders, such as Great Eastern's Total Health Riders or AXA's Home Care Riders. So, we do have some riders that are covering hospice care today. The Ministry of Health (MOH) does not require IPs to cover hospice care, as an expansion of IP benefits will, inevitably, result in higher premiums for all policyholders. In assessing whether palliative care should be covered by IPs, we also need to look at whether the services are affordable for most Singaporeans. Based on data collected by MOH, hospice care is affordable through a combination of Government subsidies, charity dollars and MediSave. About eight out of 10 inpatient hospice bills did not require out-of-pocket cash payment while about nine in 10 home palliative care patients did not have to make out-of-pocket cash payments for their care. Needy patients who require further assistance can receive financial support through MediFund. MOH regularly reviews the amount of Government subsidies and MediSave used for hospice care to ensure it remains affordable for patients and also sustainable for providers. We are also working with community partners to enhance accessibility to palliative care services by increasing capacity for palliative care across the inpatient, home and community settings.”
“Mdm Speaker, I thank the Member for his supplementary questions. For his first question on whether different pre-existing medical conditions will have different risk implications, the answer is yes. The second question is whether we would look at allowing insurance companies to provide coverage for pre-existing conditions and charge different premiums. I would like to clarify that since MediShield Life was launched on 1 November 2015, we have allowed IP insurers to offer risk-loaded policies where individuals with pre-existing conditions can obtain coverage by paying additional premiums. The premiums will be calculated based on commercial and actuarial considerations, according to the different risks which different pre-existing conditions carry. Importantly, I think it is also useful for us to remember that pre-existing conditions today are already covered by MediShield Life, which is the basic health insurance that we have provided for all Singaporeans, for life. As for the third question, I think the Member is asking about whether we would look at measures if there is market failure. Certainly, we would study this carefully with the industry and to make sure that the insurance scheme is working well for Singaporeans.”
“Mdm Speaker, the Ministry of Health's (MOH) focus is to provide affordable basic health insurance to all Singaporeans. This is done through MediShield Life which offers adequate protection for the vast majority of subsidised patients. Its claim limits are sized to fully cover 90% of hospital bills for patients staying in B2 or C class wards. MediShield Life also provides lifelong coverage for Singaporeans with pre-existing conditions. This is made possible by the Government bearing most of the cost of extending MediShield Life coverage to these Singaporeans. Like all Integrated Shield Plans (IPs), Standard IP is an optional private insurance. Currently, IP insurers are allowed to offer riders for coverage of pre-existing conditions. The premiums for these riders are set by the insurers based on commercial and actuarial considerations. As the Government's focus is on providing basic health insurance for all Singaporeans through MediShield Life, we do not have any plans to incentivise insurers to offer such riders. We have to be prudent in extending subsidies and incentives beyond MediShield Life, as the cost increases will ultimately be borne by taxpayers. On Dr Tan Wu Meng's suggestion to establish a reinsurance risk pool, MOH will explore this proposal with the industry players. I thank the Member for his suggestion.”
“We also need the help of the unions and our Labour Movement to help us to work together to try and encourage all Singaporeans, including our workers, to eat healthily. Ms Thanaletchimi also asked about MediSave. Today, we have a withdrawal limit of $400 per person for management of chronic diseases. In 2014, when we looked at the amount, it was sufficient for the majority of patients. For eight in 10 patients, this amount was sufficient. But in certain cases where the need may be greater, they can actually share with their spouse. So, it is not just your own individual account. You can use it to help your spouse. This also gives greater flexibility in cases where they need a little bit more. Very importantly, while we look at ways to provide more flexibility through the use of MediSave, we must also bear in mind that MediSave, at the end, is also used for long-term healthcare needs when we grow old. It is used to pay for our healthcare costs and to pay for our insurance premiums, including MediShield Life premiums. So, there is a need to strike a balance. But we will look at ways to try and make it flexible for people to use and to keep the cost affordable for chronic disease management.”
“Mdm Chair, I will answer the question on how to encourage our workers to eat healthily, especially our low-wage workers, and also the other question about MediSave. First, on eating habits. Indeed, we have to find ways to make healthier food options affordable. There are different ways of doing this. In some of the institutions and companies, in their cafeteria or canteen, they do offer healthier options. When I visited Khoo Teck Puat Hospital, they were showing me the food court. They do a few things. First is pricing. If you eat brown rice, it is cheaper than if you eat white rice. It Is not the case in all places, but at the food court in Khoo Teck Puat Hospital, that is the pricing incentive that they give to encourage people to eat healthily. They also give a discount if you order drinks with less sugar. If you order kopi-C, it is more expensive than if you order kopi-C xiu dai, and it is more expensive than if you order kopi-C kosong. So, they try to find different ways to nudge people to eat healthily. They also use design to try and place the different food items. So, this is not just pricing. It is also about how you encourage good behaviours, eating habits. The economic rice stall, for example, they will put the healthier options at the beginning of the queue, so that when you choose these options, by the end of the queue where some of the less healthy foods are, your plate would be full and, therefore, you may not have as much incentive, desire or temptation to order the less healthy food. Through this combination of ways, they are trying to help the visitors, patrons and also their own staff to eat more healthily. We need to work with employers.”
“They partnered the AIC to do a job redesign and, through the various changes they have made, the staff were able to save up to 20% of their time. They also introduced FWAs so as to allow staff more flexibility in managing their work hours. Our healthcare workers play a pivotal role in supporting productivity initiatives and we appreciate and recognise their efforts. Ms Thanaletchimi suggested extending the Progressive Wage Model which we currently have in the healthcare system to other groups of healthcare workers. I fully support her proposal. MOH will work with the union on this. We want to retain our healthcare workers and upskill them to provide quality care for our patients. Mdm Chair, we have made steady progress over the years to provide quality healthcare for all Singaporeans. This is reflected in the improvements in our life expectancy and health outcomes. Credit must go to our committed healthcare workers, who have put in a lot of dedication and hard work to care for their patients. They do it with a caring heart. We must continue to show appreciation for their efforts, support them in their work and also stand by our healthcare workers during difficult times. For future generations of Singaporeans to continue having affordable, accessible and quality healthcare, we need to transform our care models and keep our healthcare system sustainable. To succeed, it will require the involvement of all Singaporeans − from individuals, families and the community. It will require changes in habits and behaviours. And, most importantly, it will require all stakeholders to work together in close collaboration and partnership.”
“I agree with Dr Tan that this will help to improve productivity and patient care. We rolled out NEHR in 2012 for participating healthcare institutions to view their patients' events and summary health records. As at March 2016, there are more than 900 healthcare institutions with access to NEHR and we would like to include more healthcare institutions over time. Technology is a key enabler to improve the work environment for healthcare workers. When I visited NUH, I saw their pilot project to remotely monitor patients' vital signs. With this system, the time nurses spend monitoring patients' vital signs has reduced by half. I am also very happy to know that there are other areas where we can support such technology, including a chair that I saw. It is a portable toilet from Japan. It looks like a normal chair but when you use it, and if you press a button, it will automatically wrap and seal the waste products. So, this makes it easier for the nurses and caregivers, as there is no unpleasant smell and the waste disposal can be done more conveniently. Ms Thanaletchimi asked about the training for healthcare workers as we implement automation and robotics. The public healthcare employers are committed to redesigning jobs and supporting our workers to gain new skills so that they can stay employable. In fact, through technology and productivity improvements, we want to enable healthcare workers to remain longer in service by making the work less physically demanding for them. This is a win-win arrangement – workers can continue working for more years, while patients can benefit from their service and experience. Jamiyah Nursing Home is a good example.”
“We will work with insurers to review existing features in private insurance schemes to mitigate the risk of over-consumption and over-charging, while providing sufficient coverage and peace of mind for policyholders. Other important initiatives to keep healthcare costs and premiums affordable include: promoting healthy living and active ageing because we know prevention is better than cure; finding ways to improve productivity in the healthcare sector; encouraging appropriate care to reduce over-treatment or over-prescription; and, providing more information on fees and charges to help patients decide which hospital and doctor they want to visit. Mr Pritam Singh also asked to increase the MediSave Additional Withdrawal Limits, or AWLs, to be sufficient for Standard IP premiums at all ages. MediSave is sized for basic healthcare expenses. MediShield Life premiums can be fully paid for by MediSave. Singaporeans who wish to purchase private insurance can use their MediSave to pay for the additional private insurance component, up to the AWL. We need to set a limit for the use of MediSave for private insurance, including the Standard IP, so that Singaporeans will have sufficient MediSave balances to support their healthcare needs when they grow old. Mdm Chair, let me now touch on the final area of enhancing value in healthcare through innovation. MOH will work closely with our healthcare institutions and the Healthcare Services Employees' Union to encourage and support ideas that can enhance patient care and service quality, improve the work environment for our healthcare workers and make our healthcare system more productive and sustainable. Dr Tan Wu Meng asked about enhancing the use of information technology, particularly in the sharing of medical records.”
“This is a more impactful and sustainable way to have a win-win arrangement for everyone. Mr Pritam Singh asked about Integrated Shield Plans, or IPs. These are private insurance plans which work together with MediShield Life. IP premiums have two components: there is a MediShield Life component, which is sufficient for basic, subsidised healthcare services, and there is an additional private insurance component. MOH sets the premiums for the MediShield Life component and we will keep MediShield Life premiums affordable for all Singaporeans. The private insurance premiums are decided by insurers based on commercial and actuarial considerations. They will review and adjust these premiums based on factors, such as claims experience. If claims were to increase significantly over time, the insurers will likely increase their premiums, as some have recently done so with the premiums for riders. Singaporeans who want to keep their insurance premiums affordable, including at older ages when premiums tend to go up, should carefully consider if you want to purchase private insurance like IPs and riders. Some of my residents in Bishan-Toa Payoh told me that they think MediShield Life is adequate to provide them with good quality subsidised care. It is an individual choice. I agree with Mr Pritam Singh that it is important to guard against over-consumption and over-charging. These will exert upward pressure on healthcare costs and insurance premiums over time, a concern that was shared by Dr Chia Shi-Lu. This is why MediShield Life and all IPs have co-payment features.”
“Mr Tan asked whether existing private patients in SOCs are allowed to switch to subsidised care without a polyclinic referral. Let me explain what our policy is. If a private SOC patient wants to switch to subsidised care, a medical social worker will assess his request. These assessments are done on a case-by-case basis. This is to ensure that we target our subsidies at patients with the greatest financial need. For new patients seeking subsidised specialist care, they will first go through a primary care doctor to assess if they need specialist care services. This can be done at a polyclinic or CHAS GP clinic, if he is a CHAS or PG card holder. We know there are some private SOC patients who choose to be discharged from private SOC and go through this route to switch to subsidised SOC, instead of going through a medical social worker at the hospital. Strictly speaking, this is not part of the policy for patients to downgrade from private to subsidised SOC. This is perhaps why Mr Tan pointed out that the arrangement is not very neat and tidy. However, our hospitals want to be flexible and they have accommodated these private patients, so that they are not treated differently from new patients who go through the polyclinic. Taking a broader view, our priority is to transform the way we care for patients, by bringing it beyond the hospital into the community. I shared about how we are integrating care between acute and community hospitals. In addition, MOH is piloting new models where specialists work closely with polyclinics and GPs to co-manage patients who have chronic conditions and need ongoing care. We are also building up primary care so that more SOC patients who are stable can be discharged and cared for by the polyclinics or GPs.”
“And in terms of affordability, for inpatient hospice, eight in 10 patients have zero out-of-pocket payments and for home palliative patients, nine in 10 did not have to make out-of-pocket payments. Last year, MOH received three appeals on hospice care costs. Later this year, MOH will further enhance financial support for palliative care by extending the $2,500 MediSave lifetime withdrawal limit for home palliative care to include day hospice services. Similar to home palliative patients, day hospice patients diagnosed with terminal cancer or end-stage organ failure will not be subject to this withdrawal limit if the claim is made from the patient's own MediSave account. I agree with Ms Kuik Shiao-Yin that it is important for end-of-life care to be provided with empathy. We do have training for our healthcare professionals in this area and will look at ways to further improve and do better. In addition, MOH is supportive of other efforts to improve the quality of our end-of-life care, for example, Assisi Hospice's new facility, where the design of wards resembles a home rather than an institution. Outdoor gardens and green spaces are also included as part of the development. VWOs play an invaluable role in the end-of-life care sector to provide quality and affordable care. We want to preserve this strong community support and involvement. Programmes by volunteers also help patients to live their last days fully. This includes befriending and psycho-social support for patients and their families. We will support innovations in palliative care and will continue to work with providers, like Assisi Hospice and others, to pilot new ideas that can benefit patients and caregivers. Mdm Chair, allow me to now respond to cuts from Mr Dennis Tan and Mr Pritam Singh.”
“MOH is working in partnership with the palliative care sector under the National Strategy for Palliative Care. Since 2014, we have ramped up capacity and improved the quality of palliative care in Singapore. Dr Lily Neo asked for better provision of hospice care, including training of hospice care personnel. We have introduced guidelines for the palliative care sector and will work with the Singapore Hospice Council to encourage industry players to adopt these guidelines. Dr Lily Neo and Mr Low Thia Khiang asked about the financing framework for hospices. MOH regularly reviews funding for the palliative care sector to ensure end-of-life remains affordable for patients and sustainable for providers. In July 2012, we raised the threshold for per capita household monthly income to cover up to two-thirds of Singaporean households, up from half previously. This has benefited more than 1,000 additional patients. We will continue to review and adjust the income threshold, like what we have done before. We have also enhanced financial support for hospice care services. In 2014, we improved funding for home palliative care providers. Last year, we increased the MediSave withdrawal limit for inpatient hospice and home palliative care. Just last month, we increased subsidies for eligible inpatient hospice patients and introduced subsidies for day hospice care. Overall, with coverage from Government subsidies, charity assistance and MediSave, most patients do not face out-of-pocket payments for hospice and palliative care. Let me share some data for FY2011 to 2015 on the length of stay. For inpatient hospice, the median length of stay is 15 days. For home palliative care, the median care period is around two months.”
“I thank Dr Lily Neo, Mr Low Thia Khiang and Mr Louis Ng for their suggestions on ElderShield. There were also earlier proposals from the People's Action Party (PAP) Seniors Group. MOH will study these suggestions carefully, as part of our ElderShield review. Mdm Chair, one point I wish to highlight is that increasing the payouts and coverage of ElderShield will require, in the end, higher premiums for the scheme to remain viable. So, this higher cost will, ultimately, be borne by everyone, whether directly through ElderShield premiums or indirectly through tax-funded subsidies. 3.00 pm Hence, there is a need to balance enhancements in ElderShield with the potential cost increases, so that the scheme can remain affordable for all Singaporeans. ElderShield payout is one important source of payment but it is not the only source. Pioneers, for example, can receive Pioneer Generation Disability Assistance Scheme (PioneerDAS) on top of ElderShield. So, we will look at different ways of helping our seniors, especially those who are disabled. Other important issues for the review include whether ElderShield should be made mandatory for every Singaporean. It is now an opt-out scheme, as some Members have pointed out, and how do we provide coverage for older cohorts of Singaporeans who, today, may not have ElderShield? Similar to how we enhanced MediShield into MediShield Life, MOH will need to carefully review ElderShield in consultation with experts and key stakeholders. Our end in mind is to provide Singaporeans with peace of mind when we grow old, while keeping the scheme affordable for all. Mdm Chair, ageing well also means having access to affordable end-of-life care.”
“Early detection and treatment are important in the fight against diabetes, to keep the disease under control and prevent serious complications. Individuals with diabetes can benefit from lifestyle changes to prevent their condition from worsening. In addition, pre-diabetics could lower their risk of getting diabetes if they detect the problem early and improve their diet and lifestyle. We plan to reach out to certain groups of Singaporeans below 40. For example, those who are obese and those whose immediate family members have diabetes. They face a higher risk of getting diabetes and may need to start the screening at an earlier age. We will extend our screening outreach at the workplaces to bring diabetes screening to more workers. These include those who may find it difficult to schedule screening appointments due to the nature of their jobs. We will also review ways to strengthen post-screening follow-up to initiate early treatment and care when needed. Next, I will touch on efforts to move care beyond hospitals into the community. MOH has co-located several community hospitals with acute hospitals to facilitate care integration for patients. We are helping patients to shorten their stays at community hospitals and return home earlier. For example, by allowing them to do their rehabilitation follow-ups at day rehabilitation centres. This is what many of our patients prefer. They do not want to stay in the hospitals longer than necessary. As our population ages, it is inevitable that some of us will become frail and disabled and require support in activities of daily living. For some, this may be a few years before they pass on. For others, the duration could be longer, as Dr Lily Neo and Mr Louis Ng highlighted.”
“To support this, HPB will double the number of exercise sessions available in the community and workplaces from the current 100 to 200 by the end of this year. Another initiative is the National Steps Challenge. Through the use of wearable technology and simple data analytics, users can receive feedback on their daily progress and also receive rewards when they reach certain milestones. The National Steps Challenge has been well-received since its launch in November 2015. One in three participants have clocked 10,000 steps a day on average. In addition, 70% of previously inactive participants now average more than 7,000 steps per day. This is a good start, as studies have shown that walking at least 7,500 steps a day can contribute to lower blood pressure and cholesterol levels and help those with diabetes keep their blood sugar levels in check. Mr Mohd Aidil Bin Sufyan found the Steps Tracker easy to use and a good way to motivate him to stay healthy. He now takes the stairs more often and alights one bus stop earlier to walk home. He also brings his children for weekend walks. Praising the National Steps Challenge as a good initiative, Mr Aidil said he hopes this programme can be extended to more Singaporeans. Thank you, Mr Aidil, for your support and active participation. We are preparing for a second season of the National Steps Challenge. So, akan datang. Apart from eating right and exercising more, it is important for Singaporeans to go for evidence-based health screening at recommended intervals. Under HPB's Screen for Life programme, Singaporeans 40 and above are recommended to be screened for diabetes once every three years and, very importantly, to follow up with their family doctors after the screening.”
“Under the programme, we collaborated with restaurants to offer lower calorie meal options and to incorporate healthier ingredients, such as whole grains, fruits and vegetables, as part of their core menu offerings. Major food court chains, including Kopitiam, Koufu and NTUC Foodfare, offer at least one dish below 500 calories at each stall. They also promote reduced-sugar drinks. The number of lower calorie meals sold has doubled from 7.5 million in 2014 to 15 million last year. I am encouraged by the industry's efforts to produce versions of staple foods, like bread and noodles, which are healthier and taste just as good. Gardenia, for example, uses finely textured wholemeal flour to retain the health benefits of whole grains, while keeping its bread soft and easy to chew. Besides eating right, we need to encourage Singaporeans to exercise regularly. The recommendation is to have at least 150 minutes of physical activity per week. These 150 minutes can be achieved through simple daily activities like walking to the bus stop, using the stairs instead of the lift, doing household chores or taking a brisk walk at the park. In 2013, one in four Singaporeans between the ages of 18 and 69 did not meet the 150 minutes per week target, and this was an increase from one in five in 2007. We need to reverse this trend. Leading an active lifestyle can be simple and inexpensive. It is also something we can enjoy with our family and friends. Mdm Jessie Jee is a Pioneer and one of HPB's Health Ambassadors. She is a regular participant at our Sundays at the Park programme. Every Sunday morning, she joins others in workout classes at the Firefly Park near her home in Clementi. We hope to encourage more Singaporeans, including our seniors, to adopt active lifestyles like Mdm Jee.”