Skip to main content

Table 1 Funded components in pilot care models in the five Geriatric Services Hub sites

From: Protocol for a mixed-methods and multi-site assessment of the implementation process and outcomes of a new community-based frailty programme

Regional Health System

Study Site

Programme Description

Population Targeted

Primary

Referral Source

Main Setting and delivery

Programme Lead(s)

National University Health System

Alexandra Hospital

Geriatrician assesses older adults for frailty and manages patients in the primary care setting

Age: 65 +

CFS: 4–7

General Practice (Public), social service providers

General Practice (Public)

Geriatrician

Ng Teng Fong General Hospital

Geriatrician builds capability of primary care staff to assess and manage patients in primary care and the community setting

Age: 65 +

CFS: 4–7

General Practice (Public), social service providers

General Practice (Public), social service providers

Geriatrician

SingHealth

Changi General Hospital

Geriatrician and community nurses support primary care clinicians to assess and manage patients in primary care setting

Age: 65 +

CFS: 4–7

Hospital Emergency Department

General Practice (Private, Public)

Geriatrician

Singapore General Hospital

Community nurses screen, assess and manage patients in the community, supported by family physicians

Age: 65 +

CFS: 4–7

Community Nurse Posts, social service providers

Community Nurse Posts

Family Doctor and Nurse

Sengkang General Hospital

Geriatrician and multi-disciplinary team support primary care clinicians to assess and manage patients in the primary care and community setting

Age: 65 +

CFS: 4–7

Includes patients with dementia

General Practice (Private, Public), social service agencies, national senior care coordination agency

General Practice (Private, Public), community geriatrics nursing and rehabilitation facilities

Geriatrician

  1. CFS Clinical Frailty Score