Our Journey in 2020 A Reflection - MOH
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A Reflection
Our
Journey in
2020
1
Copyright © Ministry of Health, Singapore
Apr 2020…
Singapore announced it’s Circuit Breaker period
Many countries supplying drugs & medical supplies to
Singapore are in lockdown
We need to ramp up
medication delivery
There are long
services quickly so
queues at my
that our patients can
pharmacy! We
continue to have
are running out
access to their
of masks and
medications safely at
#passionatePM hand sanitizers.
home
Polyclinic
#commpharm
How can we cope?
When will this
situation end? What
if we run out of drugs
for patients?
#pharmnewbie
2
Copyright © Ministry of Health, Singapore
During COVID-19, together with our partners, Pharmacists,
Pharmacy Technicians and Pharmacy Staff helped to ensure that all
Singapore residents continued to receive the drugs and care that
they needed
Patient Care
Dorms & Comm Care
Hospitals Polyclinics Community Pharmacies Nursing Homes
Facilities
Purchasing/
Inventory
Regulatory
Educators
Research-
Innovation
Industry
Public
resources
3
Copyright © Ministry of Health, Singapore
At the frontline: Patient Care
Pharmacy staff (pharmacists and
pharmacy technicians)
• Responded promptly to
medication queries from patients,
clinicians and nurses
• Development of treatment
PHOTOS: PSS E-Bulletin Jul 2020
protocol for COVID-19 with
emerging data
• Serve as a reliable resource of
drug information and support for
PHOTO: National Cancer Centre Singapore
the medical teams
https://www.nccs.com.sg/patient-care/Pages/into-the-heat-
of-battle-part-1-volunteers-in-the-dormitories.aspx • As part of the mobile medical
(Accessed on 26 Nov 2020)
teams at the dormitories and
community care facilities
4
During COVID-19, together with our partners, Pharmacists,
Pharmacy Technicians and Pharmacy Staff helped to ensure that all
Singapore residents continued to receive the drugs and care that
they needed
Patient Care
Dorms & Comm Care
Hospitals Polyclinics Community Pharmacies Nursing Homes
Facilities
Purchasing/
Inventory
Regulatory
Educators
Research-
Innovation
Industry
Public
resources
5
Copyright © Ministry of Health, Singapore
Behind the scenes: Drug Supply Resiliency
MOH CPO, PHI pharmacies and
PHOTO: MOH CPO ALPS have been working closely
with HSA and pharmaceutical
companies to mitigate potential
shortages and ensure continuity
in ICU and BAU drug supply via
building buffer supply,
implementing dispensing
restrictions for drugs
PHOTO: PSS Newsletter Apr 2020 6
During COVID-19, together with our partners, Pharmacists,
Pharmacy Technicians and Pharmacy Staff helped to ensure that all
Singapore residents continued to receive the drugs and care that
they needed
Patient Care
Dorms & Comm Care
Hospitals Polyclinics Community Pharmacies Nursing Homes
Facilities
Purchasing/
Inventory
Regulatory
Educators
Research-
Innovation
Industry
Public
resources
7
Copyright © Ministry of Health, Singapore
Resources to Support the Community
Educate and empower the
consumer through publications
on
• COVID-19 prevention and
treatment
• Frequently Asked Questions
related to COVID-19 -
addressing myths
• Ordering medications for
home delivery
8
During COVID-19, together with our partners, Pharmacists,
Pharmacy Technicians and Pharmacy Staff helped to ensure that all
Singapore residents continued to receive the drugs and care that
they needed
Patient Care
Dorms & Comm Care
Hospitals Polyclinics Community Pharmacies Nursing Homes
Facilities
Purchasing/
Inventory
Regulatory
Educators
Research-
Innovation
Industry
Public
resources
9
Copyright © Ministry of Health, Singapore
Nurturing Future
Pharmacy Workforce
Schools rallied to ensure graduation
of students:
➢ 173 NUS graduates
➢ 383 polytechnic graduates
169 pharmacy students and
232 pharmaceutical science students
On 22 May 2020… safely resumed clinical training either
203 newly registered
in alternative training sites or via e-
pharmacists took the pledge at
the Singapore Pharmacy Council
learning modules
Pharmacist’s Pledge
Affirmation Ceremony
PHOTO: SPConnect August 2020
10
Copyright © Ministry of Health, SingaporeDuring COVID-19, together with our partners, Pharmacists,
Pharmacy Technicians and Pharmacy Staff helped to ensure that all
Singapore residents continued to receive the drugs and care that
they needed
Patient Care
Dorms & Comm Care
Hospitals Polyclinics Community Pharmacies Nursing Homes
Facilities
Purchasing/
Inventory
Regulatory
Educators
Research-
Innovation
Industry
Public
resources
11
Copyright © Ministry of Health, SingaporeHope for the Future: Research – Innovation
Research on the treatment of
COVID-19 is ongoing and
pharmacists have a
multifaceted role ranging from
logistic planning, research to
providing pharmacotherapy
PHOTO: Singapore General Hospital
12
Copyright © Ministry of Health, SingaporeAccelerated adoption of Medication Delivery Services
“Close to 395,000 medication
deliveries were made from Feb COVID happened, and we stepped up..
1to Aug 19. Currently an
average of 3,200 deliveries are
made daily. This is a tenfold
increase from the 320 daily
deliveries before the start of
the Covid-19 pandemic.”
PSS covid-19_newsletter_29_apr- Pharmacists in COVID-19 Pandemic:
https://safe.menlosecurity.com/https://www.pss.org.sg/know-your-medicines/covid-
19-advice-general-public/pharmacists-covid-19-pandemic#.X7sA6GgRXb3
The Straits Times, 24 Aug 2020
P o l y c l i n i c
The Straits Times, 26 Aug 2020
13
Copyright © Ministry of Health, SingaporeAccelerated adoption of Medication Delivery Services
“Close to 395,000
medication deliveries were
made from Feb 1 to Aug 19. My staff are getting
Currently an average of burnout from the
3,200 deliveries are made heavy workload
daily. This is a tenfold
increase from the 320 daily
deliveries before the start of #passionatePM
the Covid-19 pandemic.”
P o l y c l i n i c
14
Copyright © Ministry of Health, SingaporeListening to the voices of Pharmacy
✓ StraightTalk with CP (Ongoing)
✓ CP-PharmTech Leader Meeting (Ongoing)
✓ Community Pharmacy Engagements (Dec 2020 to Mar 2021)
#caringCP
What is the future Is telehealth &
of pharmacy? medication
How can I delivery here to
contribute? stay?
How do we
recognize the
How do I prepare
contributions of
for the future?
our pharmacy
workforce?
15
Copyright © Ministry of Health, SingaporeLet me share with you the progress of NPS initiatives
to future proof pharmacy…
National Pharmacy Strategy #dynamicDyCP
1. Pharmaceutical 4. Information
Care Excellence Enablement
3. Redesign
2. Confident Supply Chain
Pharmacy
Workforce
5. Technology
Enablement 16
Copyright © Ministry of Health, SingaporeWe must adapt by transforming the medicine delivery
model and redesigning our roles to provide seamless
patient-centric care to meet evolving healthcare needs.
#FutureProofingPharmacy
#dynamicDyCP
17
Copyright © Ministry of Health, SingaporeTo meet the growing demand of our healthcare
system, pharmacy must evolve by transforming the
way we deliver medications to patients.
#FutureProofingPharmacy
#dynamicDyCP
18
Copyright © Ministry of Health, SingaporeThe Development Framework for Pharmacists was launched
in May 2020 to prepare pharmacists for healthcare
transformation towards better care for patients.
#FutureProofingPharmacy
#LifelongLearning
At the SPC Pharmacist’s Pledge Affirmation Ceremony 2020… #dynamicDyCP
As a Year 1
pharmacist who
aspires to provide
better care for my
patients, I can use
DFP to identify areas
for growth and plan
for development.
#pharmnewbie
DFP serves as a guide
for me to self-reflect
and improve. It also
helps me to give
better feedback for
developing my juniors. #LifelongLearner
19
Copyright © Ministry of Health, SingaporeThe 2nd edition of Pharmacy Technicians Entry-to-Practice (ETP)
Competency Standards was introduced in September 2020. The ETP
Competency Assessment Framework helps to ensure graduates who
are planning to join the healthcare sector are equipped with the
minimum competency requirements at recruitment.
#FutureProofingPharmacy
#dynamicDyCP
The competency
The implementation assessment helps us
guide for competency develop job-ready
assessment comes with pharmacy technicians
handy assessment to better support our
checklists for training busy pharmacy
my juniors. operations.
#pharmtech #passionatePM
20
Copyright © Ministry of Health, SingaporeOur future is in our hands….
I want to develop
I want to take
myself so that I
every opportunity
can provide
to transform the
better care for
way we deliver care
my patients.
& medications.
I want to upskill
I hope to develop myself to take up
and lead new expanded roles to
services to improve better support my
patient outcome and pharmacy team.
ensure continuity of
care in community.
I want to improve
teamwork and
Every step counts build resilience
towards better within my team.
health and better
care for our future.
21
Copyright © Ministry of Health, SingaporeHow would you like this story to continue?
Share your thoughts with us:
NPS@moh.gov.sg
NPS
Fact Click here
Sheets
Copyright © Ministry of Health, Singapore
To be continued… 22National Pharmacy Strategy (NPS) Fact Sheets
• CPO & NPS updates for 2020
Click on links for
• Summary of NPS initiatives more information
• 1.1 Establish the role of pharmacy in the community on each NPS
care setting initiative
• 2.1 Implement Development Framework for Pharmacists
• 2.2 National Pharmacy Residency Programmes
• 2.3 Enhanced Pre-registration Pharmacist Training Programmes
• 2.4 Develop and Train Pharmacy Technicians
• 2.5 Build Up Manpower Capabilities for Community Care Setting
• 2.6 Collaborative Prescribing Practice
• 3.1 Centralise procurement, packaging, compounding and distribution
• 3.2 Deliver Medicines to Where, When and How Patients Need Them
• 4.2 Increased Access to Contextualised Health Info
• 4.3 Establish a National Drug Formulary (NDF)
• 5.1 Standardise drug terminology and code structures
• 5.2 Provide a common pharmacy system
- National Harmonised Integrated Pharmacy System (NHIPS)
• Contact us @ NPPMO
23
Copyright © Ministry of Health, SingaporeCPO & NPS UPDATES 2020
CPO SUPPORT FOR CONFIDENT PHARMACY RE-DESIGN INFORMATION
COVID-19 WORK WORKFORCE SUPPLY CHAIN ENABLEMENT
Ensure drug supply resiliency Developing and engaging Deliver medicines to where, when National Drug Formulary
pharmacy workforce and how patients need them
The NDF tenders had been
The Development Framework for published. Target launch of
Pharmacists was launched in NDF is in Q2 2022.
May 2020.
CPO had been engaging
New programmme and training stakeholders in preparation for NDF
standards for National Residency content and website development.
CPO and ALPS worked with SAPI Year 1 (R1) and 7 Residency Year 2
and industry to regularly track stock (R2) programmes were Obtained MOH Senior
levels of drugs and to mitigate any implemented. Management’s approval in Nov 2020 TECHNOLOGY
stock-out situation. ENABLEMENT
New Residency Year 2 (R2) exit Commencement of planning with
CPO worked with PHIs, ALPS, SAPI, exam blueprints were completed, ALPS and PHIs.
EDB, MTI, HSA etc to minimise to launch in Jan 2021 intake. Improved drug code
disruption to drug supply. Working towards opening of first standardisation
2 Graduate Certificates training National Centralised Fill Pharmacy in
programmes were introduced for 2H 2021. PHIs contributed 88.7% of drug
development of pharmacists in transactions in SDD codes. SDD
community practice. editorial updates have been
Drug compounding hubs implemented to reach 93.3%.
PHARMACEUTICAL Pharmacy Technicians Entry-to- progress on
Practice Competency Standards with SDD codes are used for vaccine
CARE EXCELLENCE implementation guide was published Drug compounding hubs at SGH and subsidy claims and immunisation
in Sep 2020. NCCS kicked off journey towards records sent to NEHR and NIR.
Support ageing in community attaining GMP-standards with
onboarding of GMP consultants Progress in harmonisation of
Due to COVID-19, Pharmaceutical in Feb 2020. medication dispensing
Care Services (PCS) study will
commence in 2021 instead of 2020. Joint steering and working National Harmonised Integrated
Straight Talk with CP was launched committees for joint NHG-NUHS Pharmacy System (NHIPS) project
Face-to-face onboarding training for in Sep 2020, conducted 4 sessions compounding hub were formed in kicked off in Feb 2020, adopting
PCS pharmacists continue to be to engage pharmacists in patient Sep 2020. Agile methodology.
conducted virtually via online care settings.
platforms. NHIPS system design was
completed in Sep 2020. Target to
implement the first site in Apr 2023.
24
Copyright © Ministry of Health, Singapore Return to ContentsThe National Pharmacy Strategy (NPS) initiatives Return to Contents
Pharmaceutical Care Confident Pharmacy Re-design Supply Information Technology
Excellence Workforce Chain Enablement Enablement
1.1 Establish the role of pharmacy in the 2.1 Implement Development 3.1 Centralise procurement, 4.1 Deliver a common platform 5.1 Standardise drug terminology
community care setting Framework for pharmacists packaging, compounding and to stimulate and share clinical, and code structures for seamless
Patients and consumers have increased Competency continuum for distribution practice-based research and communication and accurate
access to trusted pharmacy services pharmacists to progress from early Consolidating operational innovation transfer of information
within community care, from receiving career to advanced practice. functions to drive efficiencies and Sharing research, innovations Standardised terminology and
guidance and support on preventive economies of scale, giving and new ways of working will code structures will enable care
health through to managing long term 2.2 Establish pharmacy residency patients and consumers stimulate Pharmacy to address providers to communicate more
conditions. programmes affordable and readily available challenges in the healthcare easily, ensuring a safe and
Training for development of medications. landscape and transform practice seamless transition between care
1.2 Improve drug stewardship in non- specialist pharmacists to provide to deliver better standards of settings for patients.
acute care settings specialized pharmaceutical care 3.2 Deliver medications when care.
Community pharmacy services will ensure services. patients need it, where patients 5.2 Provide a common pharmacy
that medication interventions are need it 4.2 Increase consumer and system for harmonised
coordinated so that patients / consumers 2.3 Enhance pre-registration Patients / consumers have timely, patient access to contextualised medication dispensing and
receive safe and effective use of pharmacist training programme convenient access to medications health information and implement a national charging
medications to improve their health A holistic programme that supported by expertise and education engine to streamline the
outcomes. integrates experiential learning advice from pharmacy services. Access to personalised health medication-related billing
across settings for development of information resources will process
1.3 Establish collaborative models of pharmacists at entry-level. empower patients and A common pharmacy system will
care for medication reconciliation consumers to proactively manage harmonise dispensing and billing,
Healthcare teams work in partnership 2.4 Develop and train pharmacy their medications and health. enabling pharmacists to deliver a
with patients, empowering them to technicians seamless, more cost-effective
actively manage their medication list to Developmental pathway to 4.3 Establish a National Drug service.
get the best health outcomes. strengthen the core competencies Formulary (NDF)
of pharmacy technicians from A national comprehensive 5.3 Enhance telepharmacy
1.4 Implement a clinical governance entry to advanced levels. resource to establish services
framework for medication management standardised and safe use of Telepharmacy will deliver quality
A clinical governance framework supports 2.5 Build up manpower medications supported by best pharmaceutical care to patients
medication management services to capabilities for community care clinical practices. in a manner that is convenient
deliver care that is patient-focused, setting for them, at their point of need.
standards driven and consistent. Manpower capabilities will be Click here OR
developed to support community
1.5 Promote pharmacists as part of the care practices. Scan the QR code:
multidisciplinary healthcare team
Patients receive holistic care delivered 2.6 Build capability in
by coordinated, integrated teams, which collaborative prescribing Learn more
include pharmacy professionals, to Enhance the role of pharmacists as
deliver a seamless experience and part of multi-disciplinary team- about NPS
engage patients and families along the based care.
care journey.
National Pharmacy Vision Medications and services are affordable for all Timely and accessible medications and expertise at each point of care Focus on quality health promotion and prevention
through effective medication use and integrated care Delivering the MOH Vision of Beyond Hospital to Community – Beyond Quality to Value – Beyond Healthcare to Health
Copyright © Ministry of Health, Singapore Updated Oct 2020 National Pharmacy Programme Management Office | Email: nps@moh.gov.sgPharmaceutical
1.1 Establish the role of pharmacy in the community care setting
Care Excellence
Objective Delivering Pharmaceutical Care Services to empower and support
seniors & caregivers to manage medication independently in the community
What is PCS? ✓ Understand the challenges faced by seniors and caregivers with medications given
by various prescribers when they are at home
✓ Engage seniors and caregivers to develop a personalised plan to take their
medications
✓ Coordinate with multi-disciplinary care team across care settings
✓ Regular follow-up with seniors and caregivers on changes on medications
✓ Engagement of lay extenders to help seniors and caregivers
Person Centred Care Model Who will receive PCS? Benefits
Target 2000 seniors in: ✓ Empower seniors and
✓ Senior Care Centres caregivers to self manage
✓ Care Close to Home w Centre- their own medications
based Nursing ✓ Strengthen pharmacy
✓ Senior Activity Centres with support for seniors and
Comm Nurse Post caregivers in the
Inclusion Criteria: community
✓ ≥5 meds or ≥12 doses daily +
≥ 3 providers Timeline
OR ✓ PCS 3 year study will
✓ Need help with managing commence from FY2021
medication Return to Contents 26
Copyright © Ministry of Health, SingaporeConfident Pharmacy
2.1 Implement Development Framework for Pharmacists
Workforce
Objectives
1. Providing clarity on scope of practice and the
competencies required for pharmacists to gear
up towards advanced practice
2. Facilitating effective use of resources for training
and development of pharmacists
3. Promoting a culture of lifelong learning
Benefits
▪ Learns the building blocks of successful
pharmacists, for today and tomorrow Call to action
▪ Prepares pharmacists for healthcare
transformation towards better care for ▪ Familiarise about DFP:
patients Download the document
HERE or scan the QR code
▪ Equips pharmacists to lead change in ▪ Speak to your
healthcare transformation supervisor/mentor about
Timeline of activities DFP and portfolio training
2020 2021 2022
• Launch of DFP • Publish DFP Guidebook • End of transition from APF to
DFP
Copyright © Ministry of Health, Singapore Return to Contents 27Confident Pharmacy Workforce 2.2 National Pharmacy Residency Programmes
Objective RESIDENCY YEAR 1 (R1)
1. Structured training of pharmacy specialists via the 12-month Broad-based residency to develop
broad-based pharmacotherapy residency (R1) and professional and clinical competencies in the
specialty-specific residency (R2) programmes. delivery of patient-centred and high quality
pharmaceutical care
Timeline of activities
1. 4 residents from Jan 21 supplementary intake will
commence training on 4 Jan 2021
2. Next intake will be in July 2021 with the last run of
National R1 Exemption review for projected R2 candidates RESIDENCY YEAR 2 (R2)
Call to action 12-month Specialty residency to develop
accountability, practice patterns and expert
1. HODs to ensure identified candidates are on track for knowledge, skills, attitudes, and abilities in
residency training and accreditation upon exit the specialised areas of pharmacy practice
2. Pharmacists to have career conversation with their ROs to Specialty
Practice
plan for their specialization journey in specialties of interest Experience
Benefits (1 to 3 years)
1. To build pharmacy specialists workforce who will provide PHARMACY SPECIALIST
care to complex patients in various specialties ACCREDITATION
2. To retain and groom clinical pharmacists to practise at the The 7 PSAB-recognised specialties are
Cardiology, Critical Care, Infectious Diseases,
top of their licenses and nurture the next generation of Geriatric, Oncology, Paediatric and
pharmacy specialists Psychiatric Pharmacy.
Copyright © Ministry of Health, Singapore Return to Contents 28Confident Pharmacy Workforce 2.3 Enhanced Pre-registration Pharmacist Training Programmes
Objectives
1. To review the SPC’s Competency Standards for
Pharmacists and improve training curriculum, PRE-EMPLOYMENT CLINICAL
TRAINING (PECT)
manuals and assessment templates as appropriate (in-course)
Competency Domains
2. To ensure alignment of competency standards, EPA 2 x 12 weeks of rotations across
retail/polyclinic pharmacies, specialty
for Entry-to-Practice
Pharmacist
and NUS B Pharm curriculum centres, ILTC facilities, pharma Industry
and HSA Pharmaceutical
3. To recommend robust accreditation method for Expert
rotation sties Patient Care
Provider
Timeline of activities Communicator
PRE-REGISTRATION PHARMACIST
1. The appointed Review Workgroup will convene and TRAINING (post-course)
Collaborator
start work in early 2021 2 x 12 weeks of rotations across acute
care and ambulatory care settings in
Professional
Call to action PHIs and specialty centres
1. To provide necessary input to the review work Health Advocate
streams overseen by the workgroup
Leader
REGISTRATION WITH SINGAPORE
Benefits PHARMACY COUNCIL Scholar
1. More structured and robust pre-registration To pass SPC’s Competency Exam prior
pharmacist’s training and assessment framework to registration
2. Better quality assurance of training rotation sites
*EPA = Entrustable Professional Activities Return to Contents 29
Copyright © Ministry of Health, SingaporeConfident Pharmacy Workforce 2.4 Develop and Train Pharmacy Technicians
Objectives Developing a confident and adaptive pharmacy support workforce from
entry-to-practice to advanced level
Entry-to-Practice Competency Standards
▪ For implementation of the competency standards,
the Entry-to-Practice (ETP) competency
assessment framework for pharmacy technicians is
developed by the Pharmacy Technicians Training
and Development Committee
▪ The 2nd edition was published in September 2020
with implementation guide for competency
assessment
Benefits Call to action
▪ Promote better alignment of school curriculum ▪ Find out more: Download the
and assessment strategies with the competency Pharmacy Technicians ETP
standards of entry-level pharmacy technicians Competency Standards HERE
▪ Enhance job-readiness of graduates for practice as or scan the QR code
pharmacy technicians ▪ Utilise the assessment
checklists for training of entry-
Timeline level pharmacy technicians
2020 2021 2022
• Introduce Implementation • Review of results from ETP • First batch of students
Guide for competency trial assessments (AY2019) to receive Letter
assessment of Competency Attainment
Copyright © Ministry of Health, Singapore
Return to Contents 30Confident Pharmacy Workforce 2.5 Build Up Manpower Capabilities for Community Care Setting
Objectives Advancing community practice through training and development of
pharmacists
Development Plan for Community Practice
Structured foundation training
On-the-job training for seamless transition towards advanced practice
Graduate Certificates for Community Practice
Part-time blended learning with community attachments
Community of Practice
For sharing of best practices and sector-wide peer support networking
Timeline of activities Call to action
✓ Graduate Certificate in Advanced Pharmacy Practice was ▪ Find out more about
launched by NUS in May 2020. Registration for AY2021 the Graduate
will start in April/May 2021. Certificates for
✓ Graduate Certificate in Community-based Geriatric Community Practice
Pharmaceutical Care was launched by NUS in October HERE or scan the QR
2020. Registration for AY2021 will start in Sep/Oct 2021. code
Return to Contents 31
Copyright © Ministry of Health, SingaporeConfident Pharmacy Workforce 2.6 Collaborative Prescribing Practice
Objectives Empowering pharmacists for collaborative prescribing practice through National
Collaborative Prescribing Programme (NCPP)
National Collaborative Prescribing Programme
Purpose:
▪ Equip pharmacists with prescribing competencies and hands-on
training
▪ Practice and apply collaborative prescribing competencies in
clinical settings
▪ Attain the prescribing competencies via a single formative and
summative assessment framework
Benefits
▪ Pharmacists are empowered to prescribe medicines and order tests
within a collaborative framework overseen by doctors
▪ Enable expansion of pharmacist-led patient care services
Timeline of activities Call to action
▪ 66 pharmacists have completed NCPP ▪ Find out more about the
since March 2018 NUS National
▪ Training for Cohorts 5 and 6 started in Collaborative Prescribing
August 2020 Programme HERE or scan
Copyright © Ministry of Health, Singapore
the QR code Return to Contents 32Re-design
3.1 Centralise procurement, packaging, compounding and distribution
Supply Chain
To establish a resilient supply chain of quality sterile preparations for the public
Objective healthcare sector
Hub and Spoke Model Timeline of activities
• Pharmacy compounding centers (hubs) will be built to • SGH and NCCS hubs at SHS are projected to
PICS GMP* standards to prepare and supply sterile commence operations from Oct 2021 and July
preparations to other PHIs (spokes). 2022 respectively
• Spokes may retain sterile preparation facility to • NHG-NUHS joint hub planned to commence
prepare urgent and short expiry preparations, if operations by 2025
required
Benefits
✓ Improved medication safety with automation and adoption of GMP standards, provision of ready-to-
use preparations that include high alert medications
✓ Improved staff safety by leveraging on technology & reducing cytotoxic exposure
✓ Build system resilience & continuity (hubs cross-coverage)
✓ Enhancement of compounding capability for Singapore
Call to action
• Continued support for compounding hubs
and adopting the GMP standards to ensure
patient safety in sterile preparations
*PICS GMP = Pharmaceutical Inspection Cooperation Scheme Good Manufacturing Practice
Return to Contents 33
Copyright © Ministry of Health, SingaporeRe-design 3.2 Deliver Medicines to Where, When
Supply Chain and How Patients Need Them - National Central Fill Pharmacy (NCFP)
Objective To establish a national medicine delivery platform that is integrated with pharmaceutical care
services to meet patients’ needs
What is NCFP?
• Consolidate and leverage on technology
to prepare medicine for delivery to
patients’ preferred location.
• Supported by enhanced pharmacy
practice model to provide appropriate
care for all patients using the medicine
delivery service.
Benefits
✓ Build system resilience & continuity to
enable pandemic preparedness
✓ Achieve End To End Supply Chain Efficiency Timeline of activities
✓ Supports Telemedicine And New Model Of Care • Phased approach starting with polyclinics
• First site targeted to operationalize in 2H2021
✓ PHIs Pharmacy Staff Can Focus On Provision Of
patient-centric care
✓ Consolidated Patients’ Medicine List By Different What to expect
Doctors To Empower Ownership • Job redesigning and reskilling of pharmacy staff to
✓ Improved patient and caregiver satisfaction & support the enhanced pharmacy practice model
confidence • Channeling of resources to focus on patient-centric
Copyright © Ministry of Health, Singapore care Return to Contents 34Information
4.2 Increased Access to Contextualised Health Info
Enablement
Objectives To increase patient and consumer access to contextualised health information and
education so that they can proactively manage their medications and health
HealthHub My Medication & Medication A-Z
• Through My Medication and Medication A-Z, patients Access HealthHub
and consumers are able to access their own medication Medication A-Z HERE
list and nationally harmonised medication information
leaflets and videos*
Benefits
✓ Patients and consumers have access to trusted information
about the medications that they are taking at their fingertips
✓ Healthcare professionals can use the information during
patient counselling
✓ Promotes patient education, engagement and
empowerment
Progress
• To date, PSS-NMI WG has published nearly 400 medication
information leaflets on Healthub, reaching 250k page views from Jan to Oct 2020
*Materials are jointly reviewed by multi-professional team through the Pharmaceutical Society of Singapore-National Medication Information (PSS-
NMI) Workgroup. The workgroup consists of cluster partners (National Healthcare Group, National University Health System and SingHealth),
community pharmacies (Guardian, Unity and Watsons) and Pharmaceutical Society of Singapore.
Return to Contents 35
Copyright © Ministry of Health, SingaporeInformation
4.3 Establish a National Drug Formulary (NDF)
Enablement
Objectives To establish a Singapore specific and authoritative national reference to guide
evidence-based best practices for medication prescribing, dispensing and
administration by consolidating clinical and drug related information.
NDF Content
• A list of drugs that are registered in Singapore
• A list of drugs with government subsidies
• Links to subsidy information, local drug safety
information and clinical guidance where
relevant
NDF Access and Benefits
Hosted on a publicly accessible website to
✓ Help HCPs in Singapore make better-informed
decisions in a confident manner and influence the
appropriate use of drugs in Singapore *Components will be available at later phases
✓ Promote patient education and empowerment **As referenced to HSA Infosearch
Timeline Q4 2019 2020 Q1 2021 Q2 2022
• Started engagement with • Ongoing • Commence • Target NDF
Product Registrants stakeholder development of Launch Date
engagement NDF Website
• Published NDF Tender
Return to Contents 36
Copyright © Ministry of Health, SingaporeTechnology 5.1 Standardise drug terminology and code structures for seamless communication
Enablement and accurate transfer of information
Objectives To achieve safe, unambiguous and seamless medication information exchange and
interoperability for all healthcare settings in Singapore to improve medication safety
What is SDD? Benefits
• A national terminology standard for medicines ✓ Enables unambiguous identification, coding &
• Includes standardized, consistent descriptions interpretation of medicines
• Needs to meet diverse requirements of ✓ Facilitates seamless exchange of medicines
different users and cater for new innovative information
products
SDD Scope Call to action
• HSA registered drugs • Continued adoption of SDD and SMST* as the
• Exemption and extemporaneous drugs preferred standards for medicines and dosing
• Single and multi-ingredient vitamins instructions
Timeline of activities
Q4 2019 Q2 2020 Q3 2020 2021
• Implemented editorial • Started NHIPS • Go-live for Vaccine • Initiate audit of SDD
rule changes to close engagement on Subsidy (SVL) using mapping using
mapping gaps drug master data SDD codes NEHR data
*SDD = Singapore Drug Dictionary, SMST = Singapore Medicines Supporting Terminology
Return to Contents 37
Copyright © Ministry of Health, SingaporeTechnology 5.2 Provide a common pharmacy system
Enablement - National Harmonised Integrated Pharmacy System (NHIPS)
Objectives To consolidate patient medication management and supply at the public healthcare
pharmacies onto a common digital platform, enabling more efficient work processes and
access to service or information by the patients, which will transform the care delivery.
What is NHIPS? • A common pharmacy system for harmonised medication dispensing and leveraging on
a national charging engine for harmonised medication-related billing.
• Transformation of outpatient medication management and supply through
consolidating the multiple current isolated pharmacy systems, from being provider-
centric to one that puts the patient at the center of outpatient medication supply.
Benefits
Timeline of activities
Patients and Caregivers • Dec-20 - Establishment of Product
Improve accessibility of medications to all patients where and when Roadmap
they need it for seamless patient care.
• Mar 21 - Completion of Foundation
Facilitate multi-channel communication for patients and caregivers.
Services Development
• Apr-23 - First Site Go-Live
Service Provider
Facilitate pharmacists to access comprehensive medication history Call to action
and patient active medication list for medication reconciliation.
• Continued support from cluster
pharmacists and MOH CPO to
National Level harmonize data and processes for a
Facilitate medication information exchange and system interoperability truly National Harmonized
through data standardization and harmonization. Pharmacy System
Return to Contents 38
Copyright © Ministry of Health, Singapore1.1 Establish the role of pharmacy in the 2.2 National Pharmacy Residency 3.2 Deliver medications when patients need it,
community care setting Programmes where patients need it - National Central Fill
2.3 Enhanced Pre-registration Pharmacy (NCFP)
Pharmacist Training Programmes
Amy Jurja
Amy_CHAN@moh.gov.sg Jurja_COYUCO@moh.gov.sg Amy Wan Lin
Siew Ann Amy_CHAN@moh.gov.sg GOH_Wan_Lin@moh.gov.sg
LEE_Siew_Ann@moh.gov.sg Hui Leng Corrinne
LIM_Hui_Leng@moh.gov.sg Corrinne_TAN@moh.gov.sg
2.1 Implement Development Framework for 3.1 Centralise procurement, packaging, 4.3 Establish a National Drug Formulary
Pharmacists compounding and distribution (NDF)
2.4 Develop and Train Pharmacy Technicians
2.5 Build Up Manpower Capabilities for
Community Care Setting
2.6 Collaborative Prescribing Practice
Imelda Wan Lin
Miko Pamela Imelda_HALIM@moh.gov.sg GOH_Wan_Lin@moh.gov.sg
Miko_THUM@moh.gov.sg Pamela_TEH@moh.gov.sg
Cheng Li
NG_Cheng_Li@moh.gov.sg
Raja
Rajalakshmi_RAJARAM@moh.gov.sg
Carolyn Stephanie
Carolyn_CC_HO@moh.gov.sg Stephanie_TAY@moh.gov.sg
For queries on other NPS initiatives,
please contact us at: NPS@moh.gov.sg
Copyright © Ministry of Health, Singapore Ghee Wei Return to Contents 39
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