The Outpatient to Community programme benefits patients in our Specialist Outpatient Clinics (SOCs). For medically stable patients, the programme aims to appropriately-site them to primary care closer to their homes, and for patients with complex conditions, it aims to deliver seamless care through appointment consolidation and management under a primary physician or specialist.
Patients with well-controlled chronic conditions and do not require specialist care will be appropriately transitioned from Specialist Outpatient Clinics (SOCs) to a primary care partner in the community which is closer to home. The key primary care partners under this programme include GPs on our Primary Care Networks, National University Polyclinics, St Luke's Community Clinic, and Family Medicine Clinics (FMCs).
This programme also helps patients with multiple chronic conditions and who are seen by two or more specialties in Specialist Outpatient Clinics consolidate their appointments so that they are taken care of by only one primary physician. This physician can either be a family physician from one of our primary care partners or a specialist from NUHS.
Patients will be managed holistically, with inputs from other specialists as needed. The physician will also be supported by a multi-disciplinary team of nursing, allied health professionals and case managers.