Intermediate And Long-Term Care (ILTC) Services 

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Intermediate and long term care (ILTC) services are typically required for persons who need further care and treatment after being discharged from an acute hospital as well as community-dwelling seniors who may be frail and need supervision or assistance with their activities of daily living. 

Home-Based Services

Home-based services are provided within the homes of frail and home-bound elderly. The services address the health and social needs of the person and support families in the care of their seniors. The services include: 

Home Medical Care

Doctors visit the patient to provide services such as consultations, and the assessment and management of the patient's condition from his or her own home. The primary aim of home care is to keep clients healthy and functionally independent at home and in the community for as long as possible, hence delaying institutional care (such as admission into a nursing home).

Home Nursing Care

Nurses provide nursing care such as wound dressing, stoma care and insertion of nasogastric tubes in the patient’s own home. These nurses may also play a key role in managing and reviewing the care plan of the patient, in consultation with doctors, as well as training caregivers in basic care.

Palliative Home Care 

Palliative home care provides holistic support (e.g. medical and nursing care) to terminally ill patients and their families. Patients and their loved ones are supported in their homes by a multi-disciplinary team of doctors and nurses, and for some service providers, social workers as well. The focus of home palliative care is to improve the quality of the patient’s remaining days through services such as pain control, symptom relief, nursing care and counselling.

Meals-On-Wheels

Daily meals are provided at the doorstep of the elderly who is unable to buy or prepare meals for him/herself.   

Escort / Transport Services

The service allows for arranged transportation for the senior’s medical appointments if he/she is unable to utilise public transport due to his/her semi-/non-ambulant status, or if the frail and/or working caregiver requires such assistance. A medical escort will accompany the elderly, if required.  

Home Personal Care

The senior may choose from a variety of care services, such as personal hygiene, housekeeping, medication reminder service, mind-stimulating activities and other personal care tasks, that best meet their needs.

 

Centre-Based Services

Centre-based healthcare services cater to older persons who require care services during the day, usually on a regular basis. These centres are mostly located within the community, enabling those in need to receive services in a familiar environment close to their homes, and allow working caregivers to conveniently drop off their seniors at during work.

Community Rehabilitation Services

Community rehabilitation services provided by day centres (e.g. Day Rehabilitation Centres, Senior Care Centres) refer to the provision of physiotherapy and occupational therapy services targeted at people suffering from conditions that impair their functional abilities (e.g. strokes, fractures, lower limb amputation). The key aim is to improve the client’s functional status to the maximum level medically possible, hence allowing them to regain their ability to perform activities of daily living (washing, feeding, dressing, toileting, mobility etc.) and remain active in the community.

Dementia Day Care Services

Dementia day care services provided by day centres (e.g. Dementia Day Care Centres, Senior Care Centres) refer to the provision of maintenance day care (i.e. primarily general monitoring and personal care) and a range of activities (e.g. therapeutic, social and recreational) to engage, empower and care for clients with dementia in the community. These centres serve to support working family caregivers who are unavailable during the day, who can drop off their elderly family members at a place that provides the necessary care and supervision required for the patient’s safety and well-being. 

Social Day Care Services

Social day care services provided by day centres (e.g. Social Day Care Centres, Senior Care Centres) refer to the provision of care for seniors who need supervision when their family members are at work. Typically, a social day care programme includes the following core components: (i) simple maintenance programmes (e.g. exercises) to help maintain health and functional status, (ii) activity programmes (e.g. handicraft, reading, karaoke) to promote social interactions and quality of life and (iii) caregiver support programmes (e.g. support groups, talks) that help support family caregivers to continue caring for their seniors.

 

Residential ILTC Services

The residential ILTC services comprise community hospitals, chronic sick hospitals, nursing homes, inpatient hospices and sheltered home for the ex-mentally ill. They comprise: 

Community Hospitals

Community Hospitals are intermediate care facilities. They cater to patients who are fit for discharge from acute hospitals but require inpatient convalescent and rehabilitative care.

For more information on Community Hospital care, click here.

Chronic Sick Hospitals

Chronic Sick Hospitals provide skilled nursing and medical care on a long-term basis to older persons with advanced, complicated medical conditions.

Nursing Homes

Nursing Homes provide long-term skilled nursing care for older persons. These older persons do not have families or caregivers to look after them at home, or the caregiver is unable to provide the level of nursing care required. Some nursing homes provide care for persons with special needs like dementia and persons with stabilised psychiatric conditions.

  • VWO Nursing Homes receiving MOH subsidies

    Patients who meet the means test criteria are referred by Agency for Integrated Care (AIC) to VWO Nursing Homes which receive MOH subsidies. The VWOs provide additional support if the patient requires further financial and social assistance.
  • VWO Nursing Homes that do not receive MOH subsidies

    Some VWO-operated Nursing Homes are self-funded through their own fund-raising and do not receive MOH subsidies. Although patients here are not subsidised by MOH, these VWOs are able to provide the necessary financial and social assistance to patients who are unable to afford the Nursing Home fees.

  • Private Nursing Homes which are under MOH portable subsidy scheme

    Since April 2003, MOH has extended subsidies to patients who meet the means test criteria and are admitted to accredited Private Nursing Homes. These homes have set aside a certain proportion of their beds for patients who are eligible for MOH subsidies and referred by AIC. This allows for greater private sector participation in the provision of MOH-subsidised care.

  • Private Nursing Homes which are not under the MOH portable subsidy scheme

    These are Private Nursing Homes, which cater to full-paying patients.

Inpatient Hospice Care

An inpatient hospice provides pain management and treatment for terminally ill patients who are in the final stages of their illnesses.

Sheltered Home for Ex-Mentally ill

This sheltered home is for patients with stabilised psychiatric conditions, which require minimal maintenance medication. Patients have no serious medical conditions that need intensive care and physically fit with good eyesight and without any severe form of physical or intellectual disabilities.

Respite Care

Respite care is available at some of the community hospitals and nursing homes where provision for short-term care of a few weeks could be arranged with the institutions separately.

1Agency for Integrated Care (AIC) is the coordinating agency which facilitates referrals to Nursing Homes receiving subsidies from MOH.

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