hospital visit ng teng fong

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To facilitate your admission and discharge from the hospital, you will find some useful information in this section on our procedures and policies. Information about our amenities and facilities are also provided below to make your hospital stay pleasant and comfortable.

Types of Ward Accommodation

During your stay, financial information for inpatients, required documents.

Please bring along the originals of the following.

Checklist for Admission

• Current medication
• Personal amenities such as slippers, comb, toothbrush, towel, etc.
• Change of undergarments
• Personal toiletries such as toothpaste, shampoo, soap etc. (optional as these will be provided by the hospital)

Class A Ward provides the following amenities and toiletries:

• Shower Foam

Personal Valuables

Patients are advised to leave valuables such as cash, jewellery and mobile phones at home. JurongHealth shall not be held liable or responsible for the loss or damage of any valuables or personal items during a patient’s stay. Patients and their caregivers who bring valuables to the hospital do so at their own risk.

Subsidised Ward – Class C

• 12-bedded ward
• Fan-ventilated
• Shared bathroom facilities and amenities

Only Singapore Citizens, Permanent Residents, valid Employment Pass and Work Permit Holders are eligible for admission to subsidised wards

Subsidised Ward – Class B2

• 6-bedded ward

Private Ward – Class B1

• 4-bedded ward
• Air-conditioned
• Television and telephone for each patient

Private Ward – Class A

• Single room
• Attached bathroom 
• Mini fridge
• Patient entertainment system
• In-room electronic safe

Wrist Identification

Every patient will be required to wear a wrist identification band with an attached Real-time Location System (RTLS) tag upon admission. The band will hold information such as the patient’s name, NRIC, ward number and address to enable identification by hospital staff. The RTLS tag is a safety feature that will enable the tracking of a patient's location within the hospital. Please wear it at all times during your stay in our hospital.

Consent to Treatment

Upon your admission to the hospital, you are deemed to have agreed to the required treatment for your medical condition. Some procedures may require your consent in writing. Your doctor will explain these procedures to you in detail.

Daily Ward Routine

The daily ward routine consists of the following:

• Ward rounds by the doctors (usually in the mornings)
• Meals (Breakfast, lunch, tea break, dinner)
• Visiting Hours (10am – 8.30pm daily)

The routine may vary if you are scheduled to undergo clinical tests, X-ray, or other clinical procedures.

Nurse Call Button

If you require assistance at any time of the day, please press the Nurse Call Button located on your bed panel and a nurse will attend to you shortly.

To aid our patients’ recovery, our dieticians and chefs work closely to plan the menus in our hospitals. A variety of cuisines are available to patients. Halal meals will be served to Muslim patients. The care team will also take note if you require a special diet.

Smoking Prohibition

Under the law, smoking is prohibited within the hospital premises. Please be considerate to other patients.

Patient Entertainment

A patients’ lounge is located in every ward. The lounge is equipped with a television set, daily newspapers in various languages, and other reading materials.

Leaving the Ward

If you wish to leave the ward for any reason, please inform the staff on duty at all times so that they can take note of your whereabouts and ensure that you do not miss your medication, scheduled tests or visitors.

Leaving the Hospital Premises

For your own safety, please do not leave the hospital premises until your doctor has cleared you for discharge. Patients who request to be discharged against the doctors’ advice will be required to sign an AOR (At Own Risk) form.

​For inpatient charges and payment information please read more at our charges & payment information page.

Your doctor will inform you when you are ready to be discharged. For your own safety, please arrange for a family member or friend to pick you up from the hospital.

The discharge process may take some time to allow the care team to complete processes such as the following:

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• Preparation of discharge summary
• Preparation of medication
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10 things about the newly opened Ng Teng Fong Hospital in Jurong East

SINGAPORE - The new Ng Teng Fong General Hospital (NTFGH) opened its doors on Tuesday (June 30).

Originally slated to open in December last year, the opening was pushed back by six months due to construction delays.

Staff from Alexandra hospital, which closed for renovation on Monday, run both the general hospital and the adjoining 400-bed Jurong Community Hospital. The two hospitals cost $1 billion to build.

At the general hospital, patients can look forward to having a view with greenery outside, more natural lighting and better ventilation.

Here are 10 things about Singapore's latest hospital:

1. The man it's named after

Property tycoon Ng Teng Fong was the founder of Far East Organisation and the Sino Group in Hong Kong.

Known as the "King of Orchard Road", he developed a number of shopping centres in the central shopping belt, including Far East Plaza and Lucky Plaza. He was Singapore's richest man when he died in 2010.

His family donated $125 million to the hospital, and the name change was announced in Parliament in March 2011. The hospital was originally named Jurong General Hospital.

2. What does the hospital specialise in?

The hospital expects to treat a fair number of industrial accident cases, given the large industrial area nearby, including shipyards and oil refineries.

"Of concern is our backyard - the heavy industries, and Jurong Island just next to us, and of course the emerging elderly population," said Dr Quek Lit Sin, head of emergency medicine at JurongHealth.

3. Link bridges for accessibility

Specialist outpatient clinics at the Ng Teng Fong General Hospital will be housed in an eight-storey tower, while inpatient services will be in a separate building. The nearby Jurong Community Hospital (JCH) will be located in another 12-storey building.

All three buildings will be connected via link bridges. However, for infection control purposes, patients and hospital staff will use bridges on Level 3, while the general public will use those on Level 2.

4. Bed capacity

There will be 700 acute beds, with an additional 400 beds from JCH. About six in 10 of the acute beds are subsidised, in Class B2 or C wards.

The older, larger public hospitals, such as the Singapore General Hospital, typically have more than 1,000 beds. However, very few of them have step-down care community hospital facilities so conveniently available.

5. One queue number, and one bill

At the hospital's specialist outpatient clinics, patients will use the same queue number throughout the visit - at every clinic and service point. Payment for all services will be consolidated into one bill at the end.

6. Integrated critical care

The intensive care and high-dependency units will be merged, instead of separated as they are in most hospitals. This means that patients will be cared for by the same team, lowering the chance of medical errors. Stable patients can also be wheeled out to outdoor gardens on the same floor.

7. Speedy A&E procedure

The hospital's accident and emergency (A&E) department combines registration, triage, and consultation, which, hopefully, will shorten waiting time.

Patients who do not need to be warded will also be able to collect their medication and make payment at the same time.

In most hospitals, these are typically broken down into separate steps, which contributes towards long waiting times.

8. Better lighting and ventilation

The hospital's ward towers are built in an East-West orientation, which takes advantage of prevailing winds to provide ventilation.

Sun angles were studied over a year to make sure ward rooms would receive the optimum amount of daylight without too much glare. For example, light shelves above ward windows were constructed to provide shade.

9. A window for every bed

The wards have a fan-shaped design, allowing each bed to be placed next to a window with greenery outside. The design improves ventilation and natural light, and can help to speed up a patient's recovery.

This is a first for a public hospital, as most existing hospital wards are rectangular, with windows only at the end of the room.

10. Eco-friendly

The hospital's internal hot water supply and energy for landscape lighting will be provided by solar energy.

Harvested rainwater will be the main source of irrigation for its rooftop gardens, while Newater will be used in the cooling towers of its air-conditioning system.

It is estimated that the energy saved could power nearly 4,000 five-room HDB flats for a year, while the water saved could fill about 27 Olympic-sized swimming pools.

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Ng Teng Fong General Hospital

Updated On: 25 Nov 2019 SGT 16:37:46

Tags: Healthcare     Hospitals     Public    

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JURONG COMMUNITY HOSPITAL

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Jurong hospital to open on June 30, after half-year delay

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SINGAPORE — After a six-month delay, Ng Teng Fong General Hospital ­(NTFGH) will see its first patients on June 30, with the opening of its inpatient wards, outpatient clinics and emergency department.

The opening also marks the closure of Alexandra Hospital, which will undergo renovations and reopen under the management of Sengkang Health.

Located at Jurong East, the 700-bed NTFGH, managed by Jurong Health Services (JurongHealth), will open with 365 beds first, and 80 of its 120 outpatient clinic rooms. It will also house 76 community hospital beds until the 400-bed Jurong Community Hospital (JCH), which is located in NTFGH, officially opens by the end of the year.

Another 185 beds and 13 clinics will be opened in the next 12 months.

Speaking at the media preview of the hospital today (April 29), JurongHealth chief executive Foo Hee Jug said currently, other than Alexandra Hospital, the National University Hospital (NUH) has been the key hospital serving the western part of Singapore. “By the time (NTFGH) comes in, we will share the workload ... our catchment area is about 900,000 (people), shared with NUH,” he said. “We also know that we are very close to the industrial areas, so as part of our opening preparations, we also want to be prepared for trauma cases.”

For the first month, NTFGH’s emergency department will receive only walk-in cases to allow operations to stabilise. It will start to receive resuscitation and critically-ill patients from August 1.

In the interim, the Ministry of Health will manage capacity and redirect emergency cases to public hospitals islandwide, said Health Minister Gan Kim Yong at the media preview today. “We will ensure sufficient capacity to manage emergency cases. This is part and parcel of the phasing in of NTFGH … to build competency and familiarity (and) ensure patient safety,” said Mr Gan.

Meanwhile, Alexandra Hospital will cease operations by 5.30pm on June 29. Operations at the hospital will also be scaled down as NTFGH’s opening approaches.

From May 30, patients picked up near Alexandra Hospital will be brought to the emergency departments of the nearest public hospitals, such as Singapore General Hospital (SGH) and NUH.

Mr Foo said JurongHealth will step up communication of Alexandra Hospital’s closure to patients to facilitate a smooth and safe transition.

By June 16, new and existing patients will be informed of their option to transfer to NTFGH or another public hospital, should they still need inpatient services after Alexandra Hospital’s closure. From June 23, patients at the hospital’s emergency department who need to warded will be admitted to SGH or NUH instead, to allow continuity of care without a subsequent physical transfer.

NTFGH was initially slated to open last December, but the opening was pushed back by about six months because of construction delays. In the interim, Alexandra Hospital stayed open, while beds were added at Changi General Hospital, SGH and NUH.

Ahead of the opening, NTFGH will be carrying out more training and preparation, such as “full-dress rehearsals” simulating a patient’s journey from the emergency department to operation theatres and wards.

NTFGH’s emergency department will be equipped with unique facilities such as scanners that will instantly identify walk-in patients who are running a temperature, and sound-proof cubicles to allow nurses to better monitor individual patients.

Trauma-ready rooms can also be reconfigured — three cubicles can be expanded into one — to accommodate a larger team of critical-care staff for major cases.

Its subsidised B2- and C-class wards are also 10 per cent larger than that of other public hospitals, to allow for better ventilation and more space for medical personnel and equipment to be moved around, said Mr Foo.

Asked about the persistent bed crunch seen at public hospitals, Mr Gan said the Government will continue to encourage patients to first consult primary care facilities such as polyclinics and general practitioners to minimise demand for hospital beds. Apart from NTFGH and JCH, Yishun Community Hospital is also set to open its doors this year. “(The Government) is also continuing to step up investment in primary care. In Jurong, for example, we will be having a new poly­clinic to open around 2017. Together with step-down care facilities, such as nursing homes, we will be able to provide a comprehensive and appropriate care for outpatients,” he said.

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Pm lee hsien loong at the opening of ng teng fong general hospital & jurong community hospital.

Speech by Prime Minister Lee Hsien Loong at the Opening of Ng Teng Fong General Hospital & Jurong Community Hospital on 11 October 2015.

Distinguished guests, ladies and gentlemen, I am very happy to join all of you for the opening of Ng Teng Fong General Hospital and Jurong Community Hospital.

We have been eagerly awaiting the opening of these two hospitals for a while.  On the 30th of June this year, they commenced operations, and now, as the CEO has just told you, they have opened 500 acute and 175 community hospital beds.  When it is fully open, they will have 700 acute beds and 400 community hospital beds, which will add much needed capacity to our healthcare system.

These hospitals are an important part of our Healthcare 2020 master plan.  Over the last five years, we have been steadily expanding and building hospitals, and increasing the number of hospital beds.  We opened Khoo Teck Puat Hospital in 2010 and now Ng Teng Fong General Hospital, as well as the Jurong Community Hospital.  We will open more hospitals in the years ahead – Yishun Community Hospital by end of this year, Sengkang General and Community Hospital in three years’ time, Outram Community Hospital in five years’ time, and Woodlands General and Community Hospital in 2022, which is seven years’ time.

We need more hospitals and capacity because the patient numbers have been rising steadily.  And the number has been rising mainly because our population has been aging, and aging very rapidly.  If you look at our old age dependency ratio, which measures the number of people 65 years and above, compared to the people who are in the working ages, 20 to 64 years old, the number has been gradually increasing over the years until 2010, then there was a sharp kink, and started increasing very rapidly.  From 2005 to 2010, the dependency ratio was 12 per cent, over five years, it went up to 13 per cent.  We can manage these numbers.  But from 2010 to 2015, it went from 13 to nearly 18.  In five years.  So today, for every 100 working persons, we have 18 people who are aged 65 and above.  If you look forward, over next five years, the increase will be even faster.  Over the five years beyond that, faster still.  That is including immigration, and all that we are doing to have our population grow, more babies born.  With this older population, our healthcare needs are bound to expand further.

So I am happy that we now have Ng Teng Fong General Hospital and Jurong Community Hospital built and operating.  Because these are new developments, we had the chance to design the buildings from a fresh start, around the patient.  As Mr Foo has just told you the wards here are unlike the wards in any other hospitals – fan-shaped, with lots of natural light and greenery outside, at least when there is no haze; every patient with good ventilation, and a good view, for all of the wards, whether it is C, B2, B1 or A class.  There also outdoor terraces complete with equipment and supply points, designed with patients in mind.  Patients can take short walks, enjoy a little sunshine and fresh air, lift their spirits and recover faster.  In Jurong Community Hospital, we even have a mock-up three-room HDB flat, not for sale, but just to help patients ease back into their home environment while they are recuperating – learn how to work, manoeuvre around grab bars, ramps, steps, kitchen equipment, and get back to a home environment safely.  The two hospitals – the General Hospital and the Community Hospital, are just next to each other, and they operate together as a single integrated development, physically and also in terms of clinical services and operations which they provide.  A patient who completes his surgery here in Ng Teng Fong General Hospital and needs rehabilitative care can be transferred smoothly to Jurong Community Hospital to recuperate.  He does not need an ambulance, he just get wheeled along the corridor.  He will continue to be looked after by care teams from both sides, the General Hospital if necessary, the Community Hospital which most of the time will be adequate.  When he is discharged, he will get just one bill for his stay.

When people think about healthcare, first and foremost what comes to mind is hospitals, because that is the most direct association, and the most vivid image they have.  But hospitals are actually just one piece of an overall healthcare system.  They have to fit in well with all the other components, which also have to be properly developed, resourced, organised, and linked together, which is what we have been trying to do for healthcare in Singapore, in particular in Jurong.  We have been building up our primary healthcare care facilities.  Polyclinics.  We are building a new polyclinic in Jurong – Pioneer Family Healthcare Centre by 2017.  Then we have a family medicine clinic coming up.  JurongHealth has worked with a group of family doctors to set up the Lakeside Family Medicine Clinic, which can give you a check-up, and refer you to hospital if necessary.  It is more than a polyclinic can do, because you can do tests and you also have a link to the hospitals, and it can also provide follow-up care after you are discharged from the hospital.  We also have the Jurong Medical Centre which has been operating a couple of years now, which gives specialist outpatient care like eye services and early childhood intervention.  Patients who need specialist care do not have to think about the hospital as the only possible place they can go to.  There is specialist care available within the community, more convenient, more responsive, and I believe also more economic.  

Downstream from the hospitals, we are building nursing homes.  Recently we opened All Saints Home in Jurong East.  NTUC Health has opened in Jurong West.  And we are expanding our eldercare centres so that seniors who live at home can take part in day activities and interact with others, stay active, stay engaged, stay cheerful and well.  We even have in Jurong a Blood Bank at Westgate, so that after you shop, you can donate blood.  You should do it in that sequence.  

We are putting all the pieces together in Jurong, designing the whole around the patients, to be patient-centric, not just the hospitals, but also the primary care, after care, nursing homes, outpatient treatment, making sure that they all work together.  And that the patient gets the right treatment at the right place.  Overall, the system delivers better care for the patient, in a cost-effective way.  That is what we will be doing this all over Singapore.

That is the healthcare system.  But of course, the best thing you can do is to take care of yourself, keep healthy, and not have to go to the healthcare system because that way, you really have the best quality of life.  That is our own responsibility.  So I encourage all of you to exercise regularly, keep active and fit, and stay well.  I know that in Jurong, the grassroots organisations are very active.  They have many active aging clubs, they organise popular activities like brisk walks, and I was just talking to the Mayor, Dr Teo Ho Pin the other day and he said they even taught some senior citizens in their 50s and 60s, to learn to swim, from scratch.  Their requirement is, “Please do it very early in the morning, so that we are not bumped around by the rest of the swimmers in the swimming pool.”  But they learn to swim, as very mature adults.  That is the attitude which we want.  Each of us should look after our health, monitor our own medical conditions, and take it seriously.  Because things like high cholesterol, high blood sugar, or high blood pressure are silent malfunctions of our system.  They are silent until it show up, and then it is too late.  It is much better to deal with them early, when they are there and before they cause trouble, than to wait for them to become undeniable and very difficult to treat, and harm is done.  

JurongHealth has been working hard with grassroots leaders to do health screening for the community in the void decks.  Today for this opening ceremony, I see that we have a few hundred residents come and doing health screening.  In fact there is a health carnival as well.  I suppose if you passed your health screening, you are allowed to go to the carnival.  But I hope you go for the screening, I am talking to residents in general but also all of you who are here, because doctors and nurses can get sick too.  And be sure to follow up if the screening shows up something that needs to be checked or treated.  I say that because I know a lot of people go to health screening, I know quite a number get picked up with conditions, like maybe one-third, one condition or another, and I also know that many of the people who get found to have conditions and are sent a note – “Please go and see your doctor, or go to the polyclinic”, do not follow up after that.  So if you are going to get a health screening, and not going to follow up after that, really it is wasted effort and really you are sitting on something that can cause a lot of trouble later on.  There is really no reason not to follow up because with CHAS and the PG package, there is support to deal with chronic conditions, and affordability should not be a problem.  If you need blood pressure drugs, it will be prescribed, it can be affordable.  If you need statins, you can have statins.  If you need diabetes drugs, you can change your dietary habits, have less Chendol and Ice Kachang, and will improve the blood sugar.  We need to keep active, watch our health closely.  We have a good healthcare system, so we can have a good quality of life, live well and age well.

Today, we have a very good healthcare system in Singapore.  Without blowing our own trumpet, I think we can say as a fact that it is one of the best in the world.  We spend less on healthcare than others, yet we have better health outcomes.  Infant mortality is one of the world’s lowest; longevity is one of the world’s longest.  I just looked at the latest number.  On average, we are now 82.7 I think.  That means men live till 80 and women live till about 85.  If you are born today, I am quite sure your life expectancy by the time you reach that point will be close to 90.  Medical coverage brings in nearly everybody.  So whether you are rich or poor, the medical care is accessible to you.  Waiting times are not too long.  Some of them we want to bring down but compared to other countries, overall, not too long.  Keeping such a good medical system depends not just on having more doctors and more hospitals or nurses, but also on getting the system right, making sure healthcare is delivered properly – right care at the right place, making sure healthcare is paid for properly – so that the patients pay something, the Government pay something, the insurance pay something, and each party has an incentive not to overuse the system, not to overprescribe, not to over demand healthcare services, to watch the cost and make sure it is effective.  We have been able to do that so far but it is not easy, and it depends on our political support, because ultimately, Singaporeans must be willing to support the system, and support the Government when it tries to keep the system efficient, accessible, and sustainable.  

But we have to continue to improve our system because our needs are growing – I described to you how our population is aging – our healthcare expenditure will grow.  In fact it is one of the major reasons why our budget spending will grow over the years.  We must make sure we keep on getting the system right, and value-for-money, even as we provide better protection through MediShield Life for Singaporeans, even as we increase Government support through CHAS and the PG Package for lower and middle income Singaporeans in particular, and for the PG Package, for all of the pioneer generation.  We have to make sure that the patients do not overuse resources, and doctors do not over-treat patients.  This is always going to be hard because the more support we give, the less patients have to worry about healthcare costs, the less doctors have to worry – “If I prescribe you this procedure or this drug, the patient will have to pay some of it, why don’t I just go ahead and prescribe?”.  Then the greater the incentive to overuse healthcare services, and the more pressure we will have on our resources, on our budget, and on the professionals – the doctors, nurses, and staff running the system.  

Furthermore, apart from the incentives and the cost, we must all realise what a huge and complicated system our healthcare network is.  This year, we have nearly 400,000 inpatient admissions and the number is growing, which means every day, 1,300 off-the-cuff inpatient admissions, therefore, so many more procedures, interventions, prescriptions, diagnoses, assessments to be made.  Our challenge is: even as it becomes more complex, to maintain the highest quality of medical care – of diagnosis, of treatment, and of patient care.  That means a whole team has to work together.  You can have the best surgeon in the world, but without good nursing care, without good hospital administration, without a reliable pharmacy, and just cleanliness and administration of the hospital, you can survive the operation, you will die of the recovery.  It happens, that is why people come to Singapore in order to have the operations, not that there are no very good surgeons and specialists elsewhere, but in Singapore, they can be confident of the whole system.  The whole team has to work together to make this happen.  

And once in a while, unfortunately, something will go wrong.  As something evidently did in SGH, some months ago, resulting in the recent Hepatitis C outbreak.  When something like this happens, our approach must always be to first put things right, to find out what is wrong, to safeguard the health and well-being of patients.  Establish what happened, learn from the experience, improve and do better in future.  We also always have to be open and transparent with the public and with the patients about what has happened, because we must maintain public confidence, and trust in the healthcare system.  In case of the Hepatitis-C outbreak, MOH is still investigating the case, we have an independent investigation going on.  I cannot say yet what has happened, how it happened, but I can tell you that is the approach MOH is taking and which we will take for any similar cases in future.  

Ultimately, how good our healthcare system is depends on the healthcare workers.  The thousands who give of their best every day – slogging, long hours patiently, sometimes under very difficult conditions, making sure that even if you cannot cure a patient, you can relieve his pain, his discomfort, his anxieties, treat and take care of the patient.  This week, Minister Gan Kim Yong launched a book that documented our healthcare story from independence.  Quite a number of healthcare workers turned up but I am sure many were still on duty and could not go.  Today, I would just like to thank you in person, you and all the healthcare workers who all played a part in the story, caring for patients through the years – the doctors and nurses, allied health professionals and IT staff, medical social workers, hospital administrators, and so many others – all of our Singapore healthcare team.  

The new hospital here has just started operating in June, but already, in these last few months, it has made an impact in the lives of patients.  We watched a video just now about Mr Tan, who lost his hearing through meningitis, and now with a cochlear implant, with the care and the ministering of the staff of the hospital, is able to hear again.  I am very happy that Mr Tan and Mrs Tan are here together with the hospital team, and able to share our joy on the occasion.  I am confident that the hospital will care for many more patients, as professionally, competently, and compassionately, for many more years to come.  I would like to thank the Board and the management team for their hard work in preparing the hospital to serve patients and the wider community.  I would like to thank the family of Mr Ng Teng Fong for their very generous donation, which has enabled us to improve and build up the facilities in this hospital.  I look forward to visiting the hospital when you are more settled, seeing how it is operating, seeing patients being treated well, recovering and benefitting from the investments which we have put in.  Congratulations once again.

.   .   .   .   .

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Norman Foster and his High-tech Architecture

Diebedo francis kere- first african to win pritzker architecture prize, thomas heatherwick – fascinating architect, oscar niemeyer- hero of the modern architecture, chichu art museum: portrayal of japanese brutalism, biomimicry architecture: eastgate centre – harare, zimbabwe, vastu direction for home, top 10 fabulous wooden structures in the world, 10 upcoming futuristic projects in the world: a glimpse into architecture…, architecture of indian cities: top 10 cities for architects., are the skins of larger buildings prefabricated, what is 3d printing technology how it is used in architecture, the best designing software that every architect must use, best laptop for architecture students in 2021, 5 representations of technology in the world of architecture, unveiling the essence of architecture: a comprehensive exploration, architecture juries – 10 things to remember before them, top 20 architecture colleges in the world, top 20 architecture colleges in india, top 20 architecture colleges in canada, “every patient a window” ng teng fong and jurong community hospital, singapore.

Sustainability has become a necessity in buildings everywhere. It can widely see in residences and commercial outlets. Also, that has yet to penetrate public buildings like hospitals. It is imperative to bring about a change as hospitals are one of the major consumers of energy all over the globe. However, the wave of change has already begun with one hospital that is breaking all barriers and leading the sustainable movement- The NG TENG FONG GENERAL HOSPITAL AND JURONG COMMUNITY HOSPITAL, SINGAPORE.  

About the Ng Teng Fong and Jurong Community Hospital

Site planning program, connectivity of ng teng fong and jurong community hospital, sustainable game plan, design of wards at ng teng fong and jurong community hospital, kinds of wards.

• Architects: HOK   
• Location: Jurong, Singapore  
• Design Consultant and Medical Planning: HOK  
• Architects/Structural/Civil: CPG Consultants Pte Ltd 
• Design Consultant: Studio 505 Melbourne  
• Green Mark Consultant: ZEB Technology Pte Ltd Singapore 
• Mechanical and Electrical Engineer: Parsons-Brinkerhoff 
• Landscape: Peridian Asia Pte Ltd 
• Interior Design: Bent Severin and Associates Pte Ltd 
• Size: 1.84 million sq. ft. / 171,300 sq. m.  
• No. of beds: 700-bed main hospital, 200-bed community hospital  
• Total building area: 1,862,368 (includes Ng Teng Fong General Hospital, Jurong Community Hospital, and Specialty Outpatient Clinic)  
• Cost of construction, excluding furnishing: $371.5 million 
• Number of residents, occupants, visitors: 1,100 
• Completion date: October 2015 

The Ng Teng Fong General Hospital (NTFGH) is the first medical campus in Singapore’s attempt at creating sustainable and energy-efficient hospitals. Though Singapore provides free healthcare, there might be possibilities of comprising patient care in certain unavoidable places. However, the performance-based design of NTFGH supports the health and well-being of patients above everything else. The building consumes 38% less energy than its peers and 69% less than any hospital in the U.S. This has been made possible by combining passive design principles with perfect orientation. The hospital’s services extend from out-patient care to post-acute care. The hospital was given a platinum rating by the Green Mark Program of Singapore. It was also selected for the sustainable design excellence award by AIA’s Committee on the Environment (COTE) in the year 2017. 

Also, Read 10 Plants for vertical Building Facades of India.

Steering away from regular planning concepts, HOK architects came up with a surprising saw-tooth plan that permitted them to furnish “every patient with an operable window”. The hospital encases three major towering structures within its grounds. Tower-A dedicates to specialist out-patient clinics and their supporting services. The tower rises to 8 levels above the ground. It also houses a training center, an auditorium, and an administration department. The Ng Teng Fong General Hospital (NTFGH) is present next door to tower A. It has 16 levels that contain 700 beds along with several diagnostic and treatment pre-requisites. Succeeding NTFGH is the Jurong Community Hospital (JCH) with 12 levels and 400 beds. Ancillary spaces such as kitchens are sharing to eliminate redundancies and reduces cost.

As seen in any conventional hospital, separate paths are available for walk-ins, in-patients, and other emergencies. Moreover, an independent ambulance drop-off leads directly to the core of the emergency department. The treatment rooms, being modular are convenient as they each accommodate a minimum of two resuscitation units along with other life-saving equipment. Also, special trauma lifts are present for transferring critical patients to the Operating theatres and Intensive Care Units. Jurong Community Hospital (JCH) has a mobility park that aids inpatient recovery. It is stocked with ramps, steps, and other textured surfaces to help patients go back to their normal lives. A bridge connects the community hospital to the regional and tertiary hospitals. These bridges are on the second level and are linked to each other by platforms inside the hospital buildings.

JCH and NTFGH connect to Jurong East MRT station, Bus Interchange, and other nearby areas via J-walk, a bridge in the Jurong Gateway area. Jurong Health Campus’ integrated healthcare hub furnishes uninterrupted connectivity to the surrounding retail, dining, and entertainment spots.

Also, Read Top 5 Examples of Sustainability in modern architecture forms in the world

Extensive analysis of climate, energy, shading, and fluid dynamics those conducted to optimize efficiency and patient experience. Firstly, the distinctive floor plan and orientation seize prevailing winds that allow for double the amount of natural ventilation. Further, thermal massing, ceiling fans, and cross ventilation ensure stable temperatures of the interiors. Therefore, resulting in 70% of the facility being naturally cooled.

Next, three levels of shading systems that used to prevent direct solar gain. Light shelves above the windows and projection of slabs past the edges provide prominent shading from the sun’s direct rays. Horizontal louvers protect against the low angled rays during morning and evening times. Vegetation that covers much of the site acts as supplementary shading devices against both high-altitude and low-angle sun. The entire entity behaves like a vertical garden by means of parks, green roofs, and vertical plantings. Additionally, the campus contains solar thermal water heating facilities and a large array of photovoltaic installations. 

A detailed study of sun angles was carried out to attain the best positioning of the ward towers to admit maximum daylight and reduce glare. Also, they spread out in a fan-shaped arrangement, where every patient bed gets a functional window. Therefore, instead of looking at passers-by, a patient can look out the window to see peaceful views of plant life. Such an orchestration also increases the natural ventilation and light in the building. In the event of hazy winters, the hospital can utilize a centralized air filtration system to provide clean air to the naturally ventilated rooms. This technology also removes unpleasant odors and pollutants.  

There are two categories of wards- Subsidized and Private. The subsidized wards of Class C and B2 have 12 and 6 beds each. In addition, they offer shared toilets and other amenities. However, the private ward B1 has 4 beds in a group, sharing toilets and television resources. Lastly, the wards in class A are full of furniture with a living area, bathroom, and toilet.  

NTFGH has succeeded in pulling off net-zero energy in a project that doesn’t commonly know to do so. Moreover, the project has saved substantial amounts of money over a regular one. It has maximized sustainable design systems, true positioning ideals, and technological advances to create a healing habitat. Therefore, the Ng Teng Fong hospital can available as a model that can adapt to hospitals anywhere in the world. Also, the world needs more hospitals like NTFGH and JCH.

Also, Read 10 Examples of amalgamation of nature and architecture

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Ng Teng Fong General Hospital

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1 Jurong East Street 21

Singapore 609606

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Subject: Gratitude to Our Dedicated Nurses and food staff Dear Nursing Team, ward B-09 I wanted to take a moment to express my deepest gratitude for the exceptional care and support you have provided during my time in the hospital. Your professionalism, kindness, and unwavering dedication have made a profound difference in my journey towards recovery. Each day, you bring not only your expertise but also your compassion and empathy to your work, easing the challenges of illness and healing. Your tireless efforts do not go unnoticed, and I am truly thankful for everything you do. Please know that your hard work and commitment are appreciated beyond measure. You are the unsung heroes of the healthcare system, and I am forever grateful to have you by my side during this difficult time. With sincere thanks, Lozañes Elma Garlan Patient 32

My grandma was hospitalised in this hospital due to her having high fever and other symptoms. When we reached there, it took a few hours for them to get back and update on her condition. So we went home as they said it will take some time for her to get warded due to lack of beds. That was fine but we only missed one call from them yet they sent a message that they have called multiple times to no avail. When she was warded, the nurses, therapist and nutritionist were all great and helpful. I wouldn't say the same for the doctors as the doctors were on the rough side didn't consider the fact that she is hard of hearing. She informed my grandma of a medical procedure in which my grandma agreed by nodding her head. When I asked my grandma what was the medical procedure, she had no idea as she could not hear properly and simply nodded as she assumed it was a small matter. I feel that the doctors should involve the family members of the patients in decision-making of any medical procedures be it big or small as this is the patient's life. And I do not understand why the doctors always spoke to the patients expecting them to decide by themselves especially those who are unable to hear/see/speak well. The doctors had a tendency to come in to ask/speak to patients when it's not visiting hours which does not make sense as the patient's family are unaware what is happening with the patients and any decisions being made between the patient and the doctor. The doctor only informed about her condition via phone call. We even had to request to the registration counter to allow us to come in to speak to the doctor outside visiting hours once. The communication between the staff is terrible, they are unaware of the patient's condition which I do not understand what is the use of having shared data with each other. For example, on the day of her discharge, we were informed a day before by the nurse that it is estimated she will be discharged on that day or the day after. On her discharge day, we only got confirmation that she is getting discharged on that day. The doctor didn't even come in to update anything and only call in the late afternoon that she is getting discharged after dinner time. Do they think we as patient's family do not have work/school commitments? We were lucky that we managed to take leave for the whole day that day. If we couldn't, is my grandma supposed to go back home herself? Another incident is that my grandma went to the washroom and one of the nurses did not close the door. When my grandma told her to, she replied that my grandma did not have to be shy as all the patients are girls. I feel it's still uncomfortable for her as it's her own dignity and other nurses closed the door a little.. For the follow-up of her condition, we went to a nearby polyclinic to change her urostomy bag as the hospital staff said polyclinic can do so. When we went to the polyclinic, they informed that they do not specialize in that area. In the end, had to go to the A and E in the hospital to change the bag, costing a few hundreds... I really hope this hospital step up in improving in terms of the management/communication. This is not my first time my family member is hospitalised here and we only went here as it is near our house. However, the quality of care/communication has not improved since 5 years ago. I'm really disappointed with Ng Teng Fong hospital, expected more from them.

One star for this terrible hospital because I cannot put zero, a staff counter nurse from the orthopaedic and diabetic clinic called me to change an appointment I had with my doctor, I told her that in fact I had another 2 appointment to change because the day she gave me I couldn't attend to the appointment, I explained to her that I have a child with autism and he goes to the centre twice a week, I only can have those appointments those days when he has class. She repeatedly wanted to give me other days just because the doctor is not around those 2days , then I started to get heat up, she accused me not to talk to her to her expectations as I was explaining to her my issues which she refused to understand at first, she put the doctor availability before you needs. She hanged up to me on the phone without even giving me an answer. Very bad attitude, can't handle difficulties , these people thing everything must go according to what they want , they don't look at people's needs, very selfish. After she cut me off, I check online on my appointments, she changed them to be on the wrong days on purpose, so I called the appointment hotline to help me fix it. I'm waiting for the reply, if I don't have I will write another review.

I came here with my brother after one of his professional MMA fights for One Championship. He has 4 fractures in his orbital bone and needs to have surgery. I'm from the US and this hospital is one of the grossest hospitals I've ever seen. There was a man with gang green and half a foot missing, coughing all over the place unsupervised with literally one piece of Saran Wrap over his foot. There was very little staff and it was extreme over crowded and you can tell the staff didn't like their jobs and the patients were being neglected. We sat there and waited for hours before he could be seen and the doctors/nurses didn't seem to know what they were doing and and were so slow and very inconsiderate. My brother sat there for 3 hours before he could even get any pain medicine for a broken face. Needless to say, immediately after we got the CT scans, we left to a different hospital because that one was atrocious.

3 other reviews that are not currently recommended

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Comparison Between Thulium Fiber Laser and High-power Holmium Laser for Anatomic Endoscopic Enucleation of the Prostate: A Propensity Score-matched Analysis from the REAP Registry

Affiliations.

• 1 Department of Urology, Ng Teng Fong General Hospital, National University Health System, Singapore.
• 2 Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Università Politecnica delle Marche, Ancona, Italy; Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK. Electronic address: [email protected].
• 3 Urology Unit, Azienda Ospedaliero-Universitaria delle Marche, Università Politecnica delle Marche, Ancona, Italy.
• 4 Yong Loo Lin School of Medicine, National University of Singapore, Singapore.
• 5 Department of Urology, Tel-Aviv Sourasky Medical Center, Sackler Faculty of Medicine, Tel-Aviv University, Tel-Aviv, Israel.
• 6 Department of Urology and Robotic Surgery, ICUA-Clínica CEMTRO, Madrid, Spain.
• 7 Urology Division, AkfaMedline Hospital, Tashkent, Uzbekistan.
• 8 Division of Urology, Department of Surgery, University Health Network, University of Toronto, Toronto, Canada.
• 9 Department of Urology, Sai Urology Hospital and MGM Medical College, Aurangabad, India.
• 10 Department of Urology, Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia.
• 11 Urology Division, Lomonosov Moscow State University, Moscow, Russia.
• 12 Department of Urology, Sarvodaya Hospital and Research Centre, Faridabad, India.
• 13 Department of Urology, Institute for Urology and Reproductive Health, Sechenov University, Moscow, Russia; Vienna Medical University, Vienna, Austria; Karl Landsteiner Institute of Urology and Andrology, Vienna, Austria.
• 14 Department of Urology, Saint Petersburg State University Hospital, Saint Petersburg, Russia.
• 15 Department of Urology, Asian Institute of Nephrology and Urology, Hyderabad, India.
• 16 S.H. Ho Urology Centre, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China.
• 17 Department of Urology, University Hospital Southampton NHS Trust, Southampton, UK.
• 18 Department of Urology, Kantonspital Frauenfeld, Spital Thurgau AG, Frauenfeld, Switzerland.
• PMID: 37414615
• DOI: 10.1016/j.euf.2023.06.009

Background: Different lasers have been developed for treatment of benign prostatic hyperplasia, with no definitively superior technique identified to date.

Objective: To compare surgical and functional enucleation outcomes in real-world multicentre practice using high-power holmium laser (HP-HoLEP) and thulium fiber laser enucleation of the prostate (ThuFLEP) for different prostate sizes.

Design, setting, and participants: The study included 4216 patients who underwent HP-HoLEP or ThuFLEP at eight centers in seven countries between 2020 and 2022. Exclusion criteria were previous urethral or prostatic surgery, radiotherapy, or concomitant surgery.

Outcome measurements and statistical analysis: To adjust for the bias arising from different characteristics at baseline, propensity score matching (PSM) was used to identify 563 matched patients in each cohort. Outcomes included the incidence of postoperative incontinence, early complications (30-d), and delayed complications, and results for the International Prostate Symptom Score (IPSS), quality of life (QoL), maximum flow rate (Qmax), and postvoid residual volume (PVR).

Results and limitations: After PSM, 563 patients in each arm were included. Total operative time was similar between the arms, but enucleation and morcellation times were significantly longer for ThuFLEP. The rate of postoperative acute urinary retention was higher in the ThuFLEP arm (3.6% vs 0.9%; p = 0.005), but the 30-d readmission rate was higher in the HP-HoLEP arm (22% vs 8%; p = 0.016). There was no difference in postoperative incontinence rates (HP-HoLEP:19.7%, ThuFLEP:16.0%; p = 0.120). Rates of other early and delayed complications were low and comparable between the arms. The ThuFLEP group had higher Qmax (p < 0.001) and lower PVR (p < 0.001) than the HP-HoLEP group at 1-yr follow-up. The study is limited by its retrospective nature.

Conclusions: This real-world study shows that early and delayed outcomes of enucleation with ThuFLEP are comparable to those with HP-HoLEP, with similar improvements in micturition parameters and IPSS.

Patient summary: As lasers become readily available for the treatment of enlarged prostates causing urinary bother, urologists should focus on performing good anatomic removal of prostate tissue, with the choice of laser not as important for good outcomes. Patients should be counseled about long-term complications, even when the procedure is being performed by an experienced surgeon.

Keywords: Benign prostatic hyperplasia; Endoscopic enucleation of the prostate; Holmium laser; Laser therapy; Thulium fiber laser.

Copyright © 2023 European Association of Urology. Published by Elsevier B.V. All rights reserved.

• Lasers, Solid-State* / therapeutic use
• Postoperative Complications / etiology
• Propensity Score
• Prostate / surgery
• Prostatectomy / methods
• Prostatic Hyperplasia* / complications
• Quality of Life
• Retrospective Studies
• Thulium / therapeutic use
• Treatment Outcome