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NHG Partners Shared Care Programmes

In keeping with NHG’s endeavour to provide good patient care, we have launched various Shared Care Programmes to work with our GP Partners in keeping close tabs on their patients who suffer from certain chronic conditions.

Under these programmes, the referring GP will receive an initial diagnosis report from the hospital on his or her patient’s condition. After discharge, the patient will be referred back to his GP for follow-up care. The GP will then receive a discharge summary with details on the treatment received by the patient while in our hospital, and the follow-up care needed.

NHG Asthma Programme
– National Healthcare Asthma Tripartite (NEAT)
A programme that involves NHG (specialists, nurses, case managers), selected GPs, and patients, where stable asthma patients are referred to the GPs for follow-up treatment. These patients will be referred back to specialists in hospitals when necessary,

With this scheme, patients benefit from lower costs and improved quality of life through fewer hospitalisations. In addition, they enjoy the convenience and shorter waiting time to see their family doctors, which are mostly located near their neighbourhood.

NHG Coronary Heart Disease Programme
– NHG Control of Coronary Risk Factor Initiative (LIVE) Programme
A programme for the holistic management of coronary heart disease (CHD) patients to prevent repeat heart attacks.

The programme involves a seamless integrated care from hospitals to selected GPs, and a database to track outcomes. Under this scheme, stable patients are referred to GP for follow-up treatment.

In this collaboration between hospitals and selected GPs, hospital nurses and case managers regularly monitor patients’ conditions, while hospital specialists review patients’ progress with the GPs.

NHG Diabetes Programme
– NHG Better Results through Integrated Diabetes Group Effort (BRIDGE) Programme
A programme that involves a partnership between NHG and selected GPs where stable diabetes patients are referred to these GPs for their regular follow-ups. When necessary, these patients will still be referred back to specialists at the hospital for follow-up.

Patients on this programme will be assigned community care managers who will liaise with GPs regarding follow-up compliance and treatment outcomes. Patients benefit from lower costs and improved quality of life through fewer hospitalisations, emergency department or outpatient clinic attendances for acute exacerbation of diabetes.

Additionally, patients enjoy shorter waiting and follow-up appointment times to see their GPs as compared to specialists, the added convenience of closer proximity to their homes as well as savings from discounts for patients on home monitoring devices which NHG is collaborating with industry partners to provide.


To apply to be a member of NHG Partners, please click here click here for more information or call us at 6471 8999 to request for an application form

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