Fostering Closer Care Partnerships

The TTSH Community Right-Siting Programme (CRiSP) facilitates care collaboration between TTSH and primary care by channeling the care of medically stable patients to GP partners for their continual management. This way, care continues to be accessible and affordable for patients in the community.

GP BUZZ interviewed Dr Chan Peng Chew Mark, Head of Department and Senior Consultant for the Centre of Geriatric Medicine at TTSH, on the importance of forging strong primary care partnerships.

What is the target group of patients that the Centre of Geriatric Medicine is right-siting?

Ideally, we hope for CRiSP to be able to right-site geriatric patients with chronic diseases, who can benefit from monitoring by primary care doctors. There are also other categories, including dementia with stable progression, which are not too complex to tackle. Patients who are post-intervention within the hospital, such as those recently admitted or who have undergone surgery with stable conditions are also among the categories of patients which GPs are already handling, and can take on.

How will geriatric patients benefit through CRiSP?

Having GP or FMC partners located close to patient’s homes make care more accessible and convenient for less mobile patients and next-of-kin with logistical issues. Acute and chronic medical conditions are also managed by the same family doctor which makes care more holistic and less-fragmented.

Why is it important to build close primary care partnerships?

These partnerships bolster the learning journey we have embarked on together, and helps us better understand the needs of our Primary Care Partners, and the work performed by specialists. Through this understanding, we are better able to effectively right-site our patients.

Ultimately, our efforts seek to enhance the effectiveness of managing patients within the community setting, without need for un-coordinated multiple specialist care. In the long run, this clears the referral channel of unnecessary referrals to SOCs, in order to help patients in need get the care they require sooner.

Please contact the Primary Care Partners Office at GP@ttsh.com.sg if you are interested to find out more about TTSH CRiSP.